Active NPI
Alan L Peet, DDS
- Oral and Maxillofacial Surgery (Dentist)
- San Antonio, TX
National Provider Identifier
1356317036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE00007233
- Practice address
- 19527 Battle Oak
San Antonio, TX 78258-3119 - Phone
- (210) 292-5215
- Fax
- (210) 292-7879
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE00007233 | WA | Primary |
Addresses
Primary practice location
19527 Battle Oak
San Antonio, TX 78258-3119
Mailing address
19527 Battle Oak
San Antonio, TX 78258-3119
Phone (210) 292-5215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Washington University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
550 N 5TH Ave
Sequim, WA 98382-3079
Phone (360) 681-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derek R. Nykiel DDS PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Alan L. Peet DDS PLLC | Current | Accepting new patients |
Locations
550 N 5th Ave
Sequim, WA 98382
Phone (360) 681-0900
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Sequim, WA
- NPI 1437185006
-
- Oral and Maxillofacial Surgery (Dentist)
- Bingham Farms, MI
- NPI 1528413812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1356317036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19527 BATTLE OAK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583119",
"telephone_number": "210-292-5215",
"fax_number": "210-292-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19527 BATTLE OAK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583119",
"telephone_number": "210-292-5215",
"fax_number": "210-292-7879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEET",
"first_name": "ALAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE00007233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.