Leon R. Peck, a Professional Corporationm

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

LEON R. PECK, A PROFESSIONAL CORPORATIONM

Practice address

8500 Wilshire Blvd
Suite815
Beverly Hills, CA 90211-3121

Phone

(310) 657-6363

Fax

(310) 652-5785

NPI assigned

May 28, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leon Robert Peck, DDS, PHDNPI 1538185376

Title

Owner

Phone

(310) 657-6363

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leon Robert Peck, DDS, PH.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beverly Hills, CA
  • NPI 1538185376
  Authorized official Same address or phone
• Derek Joshua Tow, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Beverly Hills, CA
  • NPI 1366902462
  NPD (past)

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1497980874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "SUITE815",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-657-6363",
            "fax_number": "310-652-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "SUITE815",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-657-6363",
            "fax_number": "310-652-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON R. PECK, A PROFESSIONAL CORPORATIONM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-657-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Lennartz
• Henny Lent
• Warren Michael Lent, MD
• Leo Treyzon M.D., Inc.
• Leon I. Sones, M.D., a Professional Corporation
• Daniel Alfonso Leon-Barranco
• Teodoro Ronaldo M Leonido-John, MD
• Maria D Leonido-Yee, M.D.
• Norman Lepor, M.D.
• Lerman and Son Orthotics and Prosthetics Inc

• Oral and Maxillofacial Surgery Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

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