NPIMap

Organization Active NPI

Peter Elton DMD PLLC

  • Dentist
  • Gig Harbor, WA
National Provider Identifier
1578906038
Registry record updated Apr 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60026108 Issued in WA
Legal business name
PETER ELTON DMD PLLC
Practice address
5122 Olympic Dr NW
Suite B102
Gig Harbor, WA 98335-1767
Phone
(253) 851-1190
NPI assigned
Apr 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2013

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

Authorized official

Name
Peter M Elton, DMD
Title
Member
Phone
(360) 915-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60026108 WA Primary

Addresses

Primary practice location

5122 Olympic Dr NW
Suite B102
Gig Harbor, WA 98335-1767

Mailing address

5122 Olympic Dr NW
Suite B102
Gig Harbor, WA 98335-1767
Phone (253) 851-1190

National Provider Directory

National Provider Directory

Locations

5122 Olympic Dr
Ste B102
Gig Harbor, WA 98335
Phone (253) 851-1190

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": "1365897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365897600000",
    "number": "1578906038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW",
            "address_2": "SUITE B102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351767",
            "telephone_number": "253-851-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW",
            "address_2": "SUITE B102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351767",
            "telephone_number": "253-851-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER ELTON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-04-14",
        "status": "A",
        "authorized_official_last_name": "ELTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-915-2650",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60026108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2013; 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.