Active NPI
Gregory Alan Peters, MD
- Diagnostic Radiology Physician
- Laconia, NH
National Provider Identifier
1699719500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9226
- Practice address
- 87 Spring St
Suite 101
Laconia, NH 03246-3156 - Phone
- (603) 524-3211
- Fax
- (603) 524-0089
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9226 | NH | Primary |
Addresses
Primary practice location
87 Spring St
Suite 101
Laconia, NH 03246-3156
Mailing address
87 Spring St
Suite 101
Laconia, NH 03246-3156
Phone (603) 524-3211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109698Y0NH01 | Other | NH | ANTHEM |
| 111190 | Other | NH | CIGNA |
| 30006844 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226 | NH | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1699719500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 SPRING ST",
"address_2": "SUITE 101",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463156",
"telephone_number": "603-524-3211",
"fax_number": "603-524-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 SPRING ST",
"address_2": "SUITE 101",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463156",
"telephone_number": "603-524-3211",
"fax_number": "603-524-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "GREGORY",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "9226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0109698Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "111190",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006844",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.