Active NPI
Peter Dewire, M.D., P.C.
- Specialist
- Quincy, MA
National Provider Identifier
1598806804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9751980 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI 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.