NPIMap

Organization Active NPI

Peak Dental Implant Solutions

  • General Practice Dentistry
  • Amesbury, MA
National Provider Identifier
1366936783
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEAK DENTAL IMPLANT SOLUTIONS
Practice address
282 Elm St
Amesbury, MA 01913-4320
Phone
(978) 388-3505
Fax
(978) 388-6363
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Brad Lyle Fulkerson, DMDNPI 1700094158
Title
Dentist / Owner
Phone
(978) 388-3505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X DN21905 MA
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

282 Elm St
Amesbury, MA 01913-4320

Mailing address

41 Sparhawk St
Amesbury, MA 01913-3317
Phone (978) 388-3505

Other identifiers 1

IdentifierTypeStateIssuer
1700094158OtherMANPI

Other names 1

  • Amesbury Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

282 Elm St
Amesbury, MA 01913
Phone (978) 388-3505

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1366936783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPARHAWK ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133317",
            "telephone_number": "978-388-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 ELM ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019134320",
            "telephone_number": "978-388-3505",
            "fax_number": "978-388-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK DENTAL IMPLANT SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "978-388-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21905",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700094158",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amesbury Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.