Petar Valeriev Georgiev, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

13351 Issued in NC

Practice address

3020 S Miami Blvd
Durham, NC 27703-0965

Phone

(919) 598-9900

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Sam E English II DDS LTD

  • General Practice Dentistry
  • Mechanicsville, VA
  • NPI 1164544987
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1619406451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030965",
            "telephone_number": "919-598-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030965",
            "telephone_number": "919-598-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIEV",
        "first_name": "PETAR",
        "middle_name": "VALERIEV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415638",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "13351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Bernard George, MD
• George Georges, M.D.
• Jeff Georgi
• Rebecca Krick Georgi, MS
• Gregory Georgiade, M.D.
• Patrick Edward Georgoff, M.D.
• Laura Geraghty, PA-C
• Madison Kelley Gerahian
• Charles Gerardo, M.D.
• Jackalyn Olander Geraty, PT, DPT

• Endodontics in Durham, NC
• Providers in Durham, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.