Valerie Budar Peckosh, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08006 Issued in IA

Practice address

3455 Stoneman Rd
Dubuque, IA 52002-5269

Phone

(563) 582-1478

Fax

(563) 582-1479

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Valerie Wallace Budar Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Crescent Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dubuque, IA
  • NPI 1720146319
  Medicare reassignment
• Peckosh Pediatric Dentistry, P.C.

  • Dentist
  • Dubuque, IA
  • NPI 1598133514
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346259744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STONEMAN RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025269",
            "telephone_number": "563-582-1478",
            "fax_number": "563-582-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 STONEMAN RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025269",
            "telephone_number": "563-582-1478",
            "fax_number": "563-582-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKOSH",
        "first_name": "VALERIE",
        "middle_name": "BUDAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "BUDAR",
            "middle_name": "WALLACE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Don Paulsen, M.D.
• Holly Paulsen
• Halie Jo Paw
• Bryan Paul Pechous, MD
• Peckosh Pediatric Dentistry, P.C.
• Karina Irma Perez
• Michael Stephen Peroski, DO
• Sarah Perreault
• Kimberly Ann Peterman, RD/LD,CDE
• Allison Lynn Peters

• Pediatric Dentistry in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.