Active NPI
Alphonso Peeples, DDS
- Dentist
- Rock Hill, SC
National Provider Identifier
1366591422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2678
- Practice address
- 172 So Cherry Rd
Rock Hill, SC 29732-3400 - Phone
- (803) 329-3636
- Fax
- (803) 817-1785
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2678 | SC | Primary |
Addresses
Primary practice location
172 So Cherry Rd
Rock Hill, SC 29732-3400
Mailing address
PO Box 188
Rock Hill, SC 29731-6188
Phone (803) 329-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z26785 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2678 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1366591422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297316188",
"telephone_number": "803-329-3636",
"fax_number": "803-817-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 SO CHERRY RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323400",
"telephone_number": "803-329-3636",
"fax_number": "803-817-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEPLES",
"first_name": "ALPHONSO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z26785",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.