Peggy Lundquist, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

62938 Issued in CA

Practice address

12395 El Camino Real Ste 218
San Diego, CA 92130-3084

Phone

(858) 755-8282

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1235254657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303084",
            "telephone_number": "858-755-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303084",
            "telephone_number": "858-755-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Fulton Ave",
            "address_2": "suite B",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126032857",
            "country_code": "US",
            "telephone_number": "845-454-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "PEGGY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052977",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02691596",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02838879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel John Lundgren, P.T.
• Chase Lundin
• Katarina Lundin, DACM L.AC.
• Rand Carleton Lundmark, CADC II
• Nathan Michael Lundquist
• Christine Suzanne Lundstedt, FNP-C
• Jill M. Lundstrom, M.D.
• Michael Lundstrom
• Heather Lundt, NP
• Adam Lundy, M.D.

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.