William Daniel Peffley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO27471 Issued in OR

Practice address

607 SE Jefferson St
Dallas, OR 97338-2025

Phone

(503) 623-1200

Fax

(503) 623-1414

NPI assigned

Jul 29, 2006

Last updated

Apr 5, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

• Oregon Family Health, LLC

  • Clinic/Center
  • Dallas, OR
  • NPI 1245428903
  Authorized official Same address or phone

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1275548562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SE JEFFERSON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382025",
            "telephone_number": "503-623-1200",
            "fax_number": "503-623-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SE JEFFERSON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382025",
            "telephone_number": "503-623-1200",
            "fax_number": "503-623-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEFFLEY",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO27471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paskett
• Anne Parks Patton, QMHA
• Dana Patton
• Paventy & Brown Orthodontics II LLC (Paventy & Brown Orthodontics- Dallas)
• Sarah Elizabeth Pazina
• Vickie Pemberton
• Ryan Lee Perry, CRM, PSS
• Kayli Peterson, LPC STUDENT INTERN
• Jennifer Mary Petesky, LMT
• Therese Ngoc Pham, D.M.D.

• Family Medicine Physician in Dallas, OR
• Providers in Dallas, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.