Christian Sargent Peck, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

00205320 Issued in CO

Practice address

2624 Grand Ave Ste 200
Glenwood Springs, CO 81601-4676

Phone

(970) 928-9500

Fax

(804) 827-1244

NPI assigned

Jul 12, 2010

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cpeck31290@ahs.direct-ci.com

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1619289238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N 11TH ST",
            "address_2": "SUITE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985045",
            "telephone_number": "804-827-1244",
            "fax_number": "804-827-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 GRAND AVE STE 200",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014676",
            "telephone_number": "970-928-9500",
            "fax_number": "804-827-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 Eagle Ranch Rd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871146440",
            "country_code": "US",
            "telephone_number": "505-892-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "CHRISTIAN",
        "middle_name": "SARGENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412894",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "D3745",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00205320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Pate, M.A. C.C.C. S.L.P.
• Ankur Bharat Patel, M.D.
• Lindsay Patterson, M.A.
• Michael Pavio, M.D.
• Brett Saizan Payne
• Pediatric Partners
• Pediatric Psychology Services of Colorado (Exploration Kids Therapy)
• Ben N Peery, M.D.
• Peltzman Chiropractic, PC (Glenwood Chiropractic PC)
• Steven Mitchel Peltzman, D.C.

• Pediatric Dentistry in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.