Organization Active NPI

Alina V. Peters

Doing business as Family Dentistry For A Lifetimes

  • General Practice Dentistry
  • Beaufort, NC
National Provider Identifier
1316064918
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4545 Issued in NC
Legal business name
ALINA V. PETERS
Doing business as
Family Dentistry For A Lifetimes
Practice address
1621 Live Oak St
Beaufort, NC 28516-1520
Phone
(252) 728-2025
Fax
(252) 728-3326
NPI assigned
Mar 26, 2007
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Mrs. Stacy Rose
Title
Office Admin
Phone
(252) 728-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4545 NC Primary

Addresses

Primary practice location

1621 Live Oak St
Beaufort, NC 28516-1520

Mailing address

1621 Live Oak St
Beaufort, NC 28516-1520
Phone (252) 728-2025

Other names 1

  • Family Dentistry For A Lifetimes Doing business as

National Provider Directory

National Provider Directory

Locations

1621 Live Oak St
Beaufort, NC 28516
Phone (252) 728-2025

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1316064918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 LIVE OAK ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161520",
            "telephone_number": "252-728-2025",
            "fax_number": "252-728-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 LIVE OAK ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161520",
            "telephone_number": "252-728-2025",
            "fax_number": "252-728-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALINA V. PETERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "252-728-2025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry For A Lifetimes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaufort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.