Individual provider Active NPI

John Sidney McPeters, DMD

  • Dentist
  • Sylacauga, AL
National Provider Identifier
1689720641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3007 Issued in AL
Practice address
1604 Talladega Hwy
Dr John S McPeters
Sylacauga, AL 35150
Phone
(256) 249-3858
Fax
(256) 249-3858
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3007 AL Primary

Addresses

Primary practice location

1604 Talladega Hwy
Dr John S McPeters
Sylacauga, AL 35150

Mailing address

1604 Talladega Hwy
Dr John S McPeters
Sylacauga, AL 35150
Phone (256) 249-3858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001431 AL Order and Referring Only - Other (Non-Physician) 3678871118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689720641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 TALLADEGA HWY",
            "address_2": "DR JOHN S MCPETERS",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-249-3858",
            "fax_number": "256-249-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 TALLADEGA HWY",
            "address_2": "DR JOHN S MCPETERS",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-249-3858",
            "fax_number": "256-249-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPETERS",
        "first_name": "JOHN",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.