Active NPI
Dennis Peters
- Veterinarian
- Winslow, AZ
National Provider Identifier
1235599143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 1456
- Practice address
- 4301 W Highway 66
Winslow, AZ 86047 - Phone
- (928) 289-2906
- NPI assigned
- Mar 4, 2016
- Last updated
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 1456 | AZ | Primary |
Addresses
Primary practice location
4301 W Highway 66
Winslow, AZ 86047
Mailing address
PO Box 37
Winslow, AZ 86047-0037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1456 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1235599143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860470037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W HIGHWAY 66",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "86047",
"telephone_number": "928-289-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "AZ",
"license": "1456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.