Active NPI
Amanda Blood Kopacz Peer, D.M.D
- Pediatric Dentistry
- Duxbury, MA
National Provider Identifier
1629230461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN1855349
- Practice address
- 95 Tremont St
Suite 18
Duxbury, MA 02332-4738 - Phone
- (781) 526-9026
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN1855349 | MA | Primary |
Addresses
Primary practice location
95 Tremont St
Suite 18
Duxbury, MA 02332-4738
Mailing address
95 Tremont St
Suite 18
Duxbury, MA 02332-4738
Phone (781) 526-9026
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855349 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1629230461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 TREMONT ST",
"address_2": "SUITE 18",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-526-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 TREMONT ST",
"address_2": "SUITE 18",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-526-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEER",
"first_name": "AMANDA",
"middle_name": "BLOOD KOPACZ",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN1855349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.