Forrest Harrison Peebles, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DE00005097 Issued in WA

Practice address

2110 NW 95TH St
Seattle, WA 98117-2425

Phone

(206) 789-9197

Fax

(206) 781-0631

NPI assigned

Sep 21, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1730430356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17830",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981271824",
            "telephone_number": "206-789-9197",
            "fax_number": "206-781-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NW 95TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172425",
            "telephone_number": "206-789-9197",
            "fax_number": "206-781-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "FORREST",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "WA",
            "license": "DE00005097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Pediangco
• Pediatric Speech and Language Therapy
• Pediatric Therapy Collective PLLC
• Pediatrix Medical Group of Washington Inc PS
• Donna J. Pedroza, MBBS, MA
• Rosalys Peel, RN
• Peer Seattle
• Andrea Peer
• Kenneth Peer
• Tara Christine Peerenboom, MA, ATC, AT/L

• Public Health Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Public Health Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.