Peter Charles Medaugh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6768 Issued in CO

Practice address

7768 Vance Dr Ste a
Arvada, CO 80003-2153

Phone

(303) 423-0860

Fax

(303) 423-6014

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Able Dentistry Inc

  • Dental Clinic/Center
  • Arvada, CO
  • NPI 1679211890
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1215073192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7768 VANCE DR STE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032153",
            "telephone_number": "303-423-0860",
            "fax_number": "303-423-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 VANCE DR STE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032153",
            "telephone_number": "303-423-0860",
            "fax_number": "303-423-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDAUGH",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian A McMahon, PT, DPT
• Sarah Kathleen McManus, SLP
• Kayla Danielle McMillan
• Thomas George McPoil Jr., P.T.
• Sarah Elizabeth Arnot McWhirter, LCSW
• Medelux LLC
• Meer Soul Counseling PLLC
• Ambrosia Meikle
• Ashley E Melchiorre, APN
• Maria Cristina Melendez, OD

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.