Peter D. Cancellier, DDS, Apc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30764 Issued in CA

Legal business name

PETER D. CANCELLIER, DDS, APC

Practice address

33 Creek Rd., #330
Irvine, CA 92604-7705

Phone

(949) 857-3636

Fax

(949) 857-5766

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Peter D Cancellier, DDSNPI 1285788976

Title

President

Phone

(949) 857-3636

Specialties & licenses 1

Addresses

Other names 1

• Endodontics of Orange County Doing business as

Locations

Practitioners 1

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

• Peter D. Cancellier, D.D.S.

  • Endodontics
  • Irvine, CA
  • NPI 1285788976
  NPD (past) Authorized official

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1679957054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD., #330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047705",
            "telephone_number": "949-857-3636",
            "fax_number": "949-857-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD., #330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047705",
            "telephone_number": "949-857-3636",
            "fax_number": "949-857-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D. CANCELLIER, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "CANCELLIER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-857-3636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "30764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontics of Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esther Marie Perry
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• Personalized Nutrition Counseling, PC
• Peter an Truong, DDS, Ms Inc.
• Peter C Kim DPM Inc
• Peter Lim DDS
• Peter R. Welgan, PH.D, Inc.
• Peter Sumarsono Professional Dental Corporation
• Ashley Nicole Peterman, PA-C
• Chad A Peters, DMD

• Endodontics in Irvine, CA
• Providers in Irvine, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.