Joshua Timothy Peter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202467 Issued in CO

Practice address

6101 S Jericho Way
Centennial, CO 80016-1273

Phone

(774) 578-6849

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1720472731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 S JERICHO WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161273",
            "telephone_number": "774-578-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S JERICHO WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161273",
            "telephone_number": "774-578-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "JOSHUA",
        "middle_name": "TIMOTHY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DEN.00202467",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Lea Perlmutter, LCSW
• Alvin Ned Perlov, D.D.S.
• Michelle Anne Perovich, LMFT
• Jayson Perry
• Michael John Pesta, D.C.
• Jacqueline Delia Peters, OTR, OTD
• Jamie Peters, PHARMD
• Melissa Peters, D.O.
• Hoang Kim Petersen, NURSE PRACTITIONER
• Kirk David Peterson, D.C.

• Dentist in Centennial, CO
• Providers in Centennial, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.