Organization Active NPI

Peter Dewire, M.D., P.C.

  • Specialist
  • Quincy, MA
National Provider Identifier
1598806804
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PETER DEWIRE, M.D., P.C.
Practice address
54 Miller St
4TH Floor
Quincy, MA 02169-4725
Phone
(617) 376-2017
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Peter Dewire, M.D.
Title
M.D.
Phone
(617) 376-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

54 Miller St
4TH Floor
Quincy, MA 02169-4725

Mailing address

54 Miller St
4TH Floor
Quincy, MA 02169-4725
Phone (617) 376-2017

Other identifiers 1

IdentifierTypeStateIssuer
9751980MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1598806804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-376-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-376-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DEWIRE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "DEWIRE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "617-376-2017",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.