Michael G Peske, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Practice address

720 Brom CT
Suite 201
Naperville, IL 60540-6531

Phone

(630) 983-9800

Fax

(630) 982-9928

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629109293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROM CT",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406531",
            "telephone_number": "630-983-9800",
            "fax_number": "630-982-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BROM CT",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406531",
            "telephone_number": "630-983-9800",
            "fax_number": "630-982-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESKE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela M Persak
• Nadia Persun, LCPC
• Sindhu V Perumal, M.D.
• Hassan Pervez, M.D.
• Aaron Michael Peska
• Michael E Peters, MD
• Anna Catherine Petersen, MS RD LDN
• Cheryl Ann Petersen, LCSW
• Joseph Petersen
• Michele Lynn Petersmark, LCPC

• Pediatric Dentistry in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.