Individual provider Active NPI

Peter John Wilson, DMD

  • Dentist
  • Newburyport, MA
National Provider Identifier
1609360478
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858772 Issued in MA
Practice address
1 Inn St
Newburyport, MA 01950-2557
Phone
(978) 992-3550
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04422 NH
Dentist 122300000X DN1858772 MA Primary

Addresses

Primary practice location

1 Inn St
Newburyport, MA 01950-2557

Mailing address

4 Portland Ave Apt 3
Dover, NH 03820-6508
Phone (330) 780-9747

Other practice location 1

24 Rochester Rd
Northwood, NH 03261-3519
Phone (603) 942-8000

Other practice location 2

40 Chestnut St Ste 2
Dover, NH 03820-3370
Phone (603) 600-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1858772MAMDDentist
04422NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter John Wilson DMD PLLC CurrentSince Mar 24, 2025 Accepting new patients
Meyer Family Dentistry Past Accepting new patients
Meyer Cranio Facial Imaging & Treatment Center LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1609360478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PORTLAND AVE APT 3",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206508",
            "telephone_number": "330-780-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502557",
            "telephone_number": "978-992-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Rochester Rd",
            "address_purpose": "LOCATION",
            "city": "Northwood",
            "state": "NH",
            "postal_code": "032613519",
            "country_code": "US",
            "telephone_number": "603-942-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Chestnut St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203370",
            "country_code": "US",
            "telephone_number": "603-600-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04422",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.