NPIMap

Organization Active NPI

Walter N. Peavler, DMD, PLLC

  • General Practice Dentistry
  • Winchester, KY
National Provider Identifier
1568042604
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WALTER N. PEAVLER, DMD, PLLC
Practice address
198 Redwing Dr
Winchester, KY 40391-1674
Phone
(859) 744-0320
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Dr. Walter PeavlerNPI 1992933824
Title
Owner
Phone
(502) 682-4807

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 Primary

Addresses

Primary practice location

198 Redwing Dr
Winchester, KY 40391-1674

Mailing address

198 Redwing Dr
Winchester, KY 40391-1674
Phone (859) 744-0320

Other names 1

  • Central KY Dental Doing business as

National Provider Directory

National Provider Directory

Locations

198 Redwing Dr
Winchester, KY 40391
Phone (859) 744-0320

Practitioners & affiliated clinicians

Practitioners 3

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": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1568042604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 REDWING DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911674",
            "telephone_number": "859-744-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 REDWING DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911674",
            "telephone_number": "859-744-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER N. PEAVLER, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "PEAVLER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-682-4807",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central KY Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.