Dennis Joseph Peat, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16162 Issued in AZ

Practice address

9925 Natchez Trail
Flagstaff, AZ 86004

Phone

(623) 293-8629

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Banner Arizona Medical Clinic LTD

  • Multi-Specialty Clinic/Center
  • Peoria, AZ
  • NPI 1750347936
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1417901075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 NATCHEZ TRAIL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "623-293-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 NATCHEZ TRAIL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "623-293-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAT",
        "first_name": "DENNIS",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "16162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Potential Therapy
• Peak Therapy LLC
• Peaks Counseling LLC
• Lori L Pearlmutter, P.T.
• Jillian Rose Peart, RDN
• Anne-Laure Peaucelle, C-IAYT, RYT
• Codey Todd Pedersen, DO
• Desmyn Pedersen, DO
• Abigail R Pederson, LAC
• Paula Pelletier-Butler, DM, MS, LM

• Internal Medicine Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.