NPIMap

Organization Active NPI

Daniel Peck DDS Inc PS

  • General Practice Dentistry
  • Poulsbo, WA
National Provider Identifier
1285051656
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10941 Issued in WA
Legal business name
DANIEL PECK DDS INC PS
Practice address
20855 Bond Rd NE
Poulsbo, WA 98370-9014
Phone
(360) 779-5546
Fax
(360) 697-4951
NPI assigned
Mar 24, 2014
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Daniel G Peck, DDSNPI 1003007030
Title
Owner / President
Phone
(360) 779-5546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10941 WA Primary

Addresses

Primary practice location

20855 Bond Rd NE
Poulsbo, WA 98370-9014

Mailing address

20855 Bond Rd NE
Poulsbo, WA 98370-9014
Phone (360) 779-5546

National Provider Directory

National Provider Directory

Locations

20855 Bond Rd NE
Poulsbo, WA 98370
Phone (360) 779-5546

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1285051656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 BOND RD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709014",
            "telephone_number": "360-779-5546",
            "fax_number": "360-697-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 BOND RD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709014",
            "telephone_number": "360-779-5546",
            "fax_number": "360-697-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL PECK DDS INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "360-779-5546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.