Wade A Peers, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

98362987 Issued in UT

Practice address

2750 Rasmussen Rd Ste 106
Park City, UT 84098-5401

Phone

(435) 615-9840

Fax

(435) 615-9842

NPI assigned

Nov 7, 2006

Last updated

Oct 23, 2014By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 10, 2015 through May 10, 2027

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wade Peers DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Park City, UT
  • NPI 1639401532
  Authorized official Same address or phone
• Park City Internal Medicine - Pediatrics, LC

  • Health Service Clinic/Center
  • Park City, UT
  • NPI 1750569562
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1548339997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 RASMUSSEN RD STE 106",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985401",
            "telephone_number": "435-615-9840",
            "fax_number": "435-615-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 RASMUSSEN RD STE 106",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985401",
            "telephone_number": "435-615-9840",
            "fax_number": "435-615-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERS",
        "first_name": "WADE",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "98362987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PC Pharmacy at the Clinic Inc (Park City Phcy at the Clinic)
• Penny Jean Peacock, M.D.
• Peak Performance Physical Therapy, PC (Peak Performance Sports Medicine)
• Steven Pearmain, PA.C
• Thomas Roger Peay, PH.D.
• Robert Eugene Pellegrine, MD
• Vannette Perkins, MD
• Kristen Michelle Perlmutter, S.S.W.
• Adam Robert Perreault, MED, ATC
• James Robert Perrone, PTA

• Oral and Maxillofacial Surgery (Dentist) in Park City, UT
• Providers in Park City, UT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.