Peter M Ishak, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29337 Issued in FL

Practice address

14371 S US Highway 301
Wimauma, FL 33598-2039

Phone

(727) 238-1664

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1356188338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 INDIGO TRAIL LOOP",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782302",
            "telephone_number": "727-238-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14371 S US HIGHWAY 301",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982039",
            "telephone_number": "727-238-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heaven in Home Healthcare LLC (Heaven in Home Support Services)
• Higher Aspirations Behavior Services, LLC
• Hillsborough County Florida Board of County Commissioners (Wimauma Senior Center)
• Inspiring Estates Inc (tampa bay adult family care home)
• Integrated Wellness Counseling
• Italy Shoe Lab, Inc
• Krystal Jackman, M.S., BCBA
• Sherise Jackson
• Steven Jacob
• Karen L Jacobs, DO

• General Practice Dentistry in Wimauma, FL
• Providers in Wimauma, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.