Derek Thomas Peek, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS-09161 Issued in IA

Practice address

2929 Center Point Rd NE
Cedar Rapids, IA 52402-4035

Phone

(319) 382-8002

Fax

(319) 382-8111

NPI assigned

Oct 18, 2012

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Eastern Iowa Endodontics, PC

  • Endodontics
  • Cedar Rapids, IA
  • NPI 1942735519
  NPD Authorized official

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1336492040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024035",
            "telephone_number": "319-382-8002",
            "fax_number": "319-382-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024035",
            "telephone_number": "319-382-8002",
            "fax_number": "319-382-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEK",
        "first_name": "DEREK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "DDS-09161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Pearson, LISW
• Jessica Pearson
• Mark L Pedersen, M. D.
• Pediatric Center, PC
• Stephen Lansing Pedron, M.D.
• Thomas Leigh Peek, DDS, MS
• Amber Lee Peevler, D.C.
• Kathryn Christine Peitz, TCADC
• Laura Pelechek
• Nathalie Aurora Pena Polanco, M.D.

• Endodontics in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.