NPIMap

Organization Active NPI

Peter M. Pellegrini, DDS, Ms, P.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Everett, WA
National Provider Identifier
1245460088
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE600048914 Issued in WA
Legal business name
PETER M. PELLEGRINI, DDS, MS, P.S.
Doing business as
Pellegrini Orthodontics
Practice address
827 128TH St SW
Suite B
Everett, WA 98204-5321
Phone
(425) 374-8218
Fax
(425) 374-8457
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Peter M Pellegrini, D.D.S., M.S.NPI 1245469493
Title
President
Phone
(425) 374-8218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE600048914 WA Primary

Addresses

Primary practice location

827 128TH St SW
Suite B
Everett, WA 98204-5321

Mailing address

827 128TH St SW
Suite B
Everett, WA 98204-5321
Phone (425) 374-8218

Other names 1

  • Pellegrini Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

827 128th St SW
Ste B
Everett, WA 98204
Phone (425) 374-8218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1245460088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 128TH ST SW",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045321",
            "telephone_number": "425-374-8218",
            "fax_number": "425-374-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 128TH ST SW",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045321",
            "telephone_number": "425-374-8218",
            "fax_number": "425-374-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. PELLEGRINI, DDS, MS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-374-8218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE600048914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pellegrini Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.