Jorge Peralta DDS, PS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60002899 Issued in WA

Legal business name

JORGE PERALTA DDS, PS

Practice address

15507 2ND Ave SW
Burien, WA 98166-2540

Phone

(206) 244-7800

Fax

(206) 244-0566

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Jorge Peralta, DDSNPI 1497957617

Title

Owner/Orthodontist

Phone

(206) 244-7800

Specialties & licenses 1

Addresses

Other names 1

• Orthodontics of Burien Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge I Peralta, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burien, WA
  • NPI 1497957617
  NPD (past) Authorized official

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1659507630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 2ND AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662540",
            "telephone_number": "206-244-7800",
            "fax_number": "206-244-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15507 2ND AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662540",
            "telephone_number": "206-244-7800",
            "fax_number": "206-244-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE PERALTA DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "206-244-7800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "60002899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics of Burien",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Everett DDS PLLC
• Brian David Jones, D.O.
• Susan Elizabeth Jones, N.D
• Thomas Kevin Jones, RN
• Larry J Jordan III, LPN
• Joseph Lee DMD PS
• Kailen Rain Judge, AU.D.
• Aniko Juhasz, RN, MPH
• Margit Lai Wun Juhasz, M.D.
• Just Care Mobile Health

• Orthodontics and Dentofacial Orthopedics Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.