Organization Active NPI

Eugene H. Peeples, DDS

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1497904858
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005308 Issued in WA
Legal business name
EUGENE H. PEEPLES, DDS
Practice address
1000 Union Ave SE Ste 101
Olympia, WA 98501-1589
Phone
(360) 357-5290
Fax
(360) 357-3260
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Eugene H Peeples, DDSNPI 1750374740
Title
Dentist / Business Owner
Phone
(360) 357-5290

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00005308 WA Primary

Addresses

Primary practice location

1000 Union Ave SE Ste 101
Olympia, WA 98501-1589

Mailing address

1000 Union Ave SE Ste 101
Olympia, WA 98501-1589
Phone (360) 357-5290

Other identifiers 2

IdentifierTypeStateIssuer
0093410OtherWALABOR & INDUSTRIES
5011606MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1497904858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 UNION AVE SE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011589",
            "telephone_number": "360-357-5290",
            "fax_number": "360-357-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 UNION AVE SE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011589",
            "telephone_number": "360-357-5290",
            "fax_number": "360-357-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE H. PEEPLES, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "PEEPLES",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST / BUSINESS OWNER",
        "authorized_official_telephone_number": "360-357-5290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0093410",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5011606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.