Jorge I Peralta, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60002899 Issued in WA

Practice address

15507 2ND Ave SW
Burien, WA 98166-2540

Phone

(206) 244-7800

Fax

(206) 244-0566

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Jorge Peralta DDS, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burien, WA
  • NPI 1659507630
  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1497957617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 2ND AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662540",
            "telephone_number": "206-244-7800",
            "fax_number": "206-244-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15507 2ND AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662540",
            "telephone_number": "206-244-7800",
            "fax_number": "206-244-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "JORGE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "60002899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Paves, MD
• William Barrett Payne, MD
• Emily Pearce, RN, BSN, OOCN
• Audrey J Peltier, PHARMD.
• Nicholas Pennacchi, LMP
• Marina Percastegui
• Keren Elisabeth Perez Bonilla
• Dominic F Perez
• Cooper Perry
• Sheri Lynn Peterson-Buckley, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.