Peter D. Cancellier, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30764 Issued in CA

Practice address

33 Creek Rd.
#330
Irvine, CA 92604-7705

Phone

(949) 857-3636

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter Daniele Cancellier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Peter D. Cancellier, DDS, Apc

  • Endodontics
  • Irvine, CA
  • NPI 1679957054
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1285788976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD.",
            "address_2": "#330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047705",
            "telephone_number": "949-857-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD.",
            "address_2": "#330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047705",
            "telephone_number": "949-857-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCELLIER",
        "first_name": "PETER",
        "middle_name": "D.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "30764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "CANCELLIER",
            "middle_name": "DANIELE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Lynn Campbell, N.P.
• Suzanne Eileen Campbell, LCSW
• Ahiline Campos
• Kassandra Campos
• Nadia S Campos
• Cancer Center Imaging Inc.
• Kristin Canedo
• Denise Canellos, MS, CNS
• Bianca Cannavo, MCD-CCC-SLP
• Julie Lynn Canning, RDH

• Endodontics in Irvine, CA
• Providers in Irvine, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.