Peter Grumbos DDS Northway PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER GRUMBOS DDS NORTHWAY PLLC

Doing business as

Triangle Dentistry

Practice address

120 Northway CT
Raleigh, NC 27615-4916

Phone

(919) 847-6000

Fax

(919) 847-3159

NPI assigned

Jul 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Peter Grumbos, DDS

Title

Owner/Dentist

Phone

(505) 722-4422

Specialties & licenses 1

Addresses

Other names 1

• Triangle Dentistry Doing business as

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1396479234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NORTHWAY CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154916",
            "telephone_number": "919-847-6000",
            "fax_number": "919-847-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NORTHWAY CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154916",
            "telephone_number": "919-847-6000",
            "fax_number": "919-847-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER GRUMBOS DDS NORTHWAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "GRUMBOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "505-722-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adnan Pervez, MD
• Erin Wilson Pescaro, RN
• Editta Pessima
• Peter B. Van Dyck, MD & Associates, PA
• Peter B. Van Dyck, MD & Associates, PA
• Duboris James Peterkin
• Ashley L Peters, LCSWA
• Bryan Maclin Peters, M.D.
• Eduarda Peters
• Eldon Peters, DPM

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.