Jenai Peavy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

04381 Issued in NH

Practice address

1 Phoenix Mill LN Unit 202
Peterborough, NH 03458-1445

Phone

(603) 924-9241

Fax

(817) 225-6706

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1760935019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PHOENIX MILL LN UNIT 202",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581445",
            "telephone_number": "603-924-9241",
            "fax_number": "817-225-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHOENIX MILL LN UNIT 202",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581445",
            "telephone_number": "603-924-9241",
            "fax_number": "817-225-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 E Debbie Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633341",
            "country_code": "US",
            "telephone_number": "817-225-6702",
            "fax_number": "817-225-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "JENAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32102",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia M Orr, OT
• Joshua David Paradis, DPT
• Sarah Elizabeth Paradis, MS, OTR/L
• Liana Patel
• Paul L Jane DDS, David a Hedstrom DDS, Jasper Ainslie DDS, PA
• Performance Physical Therapy LLC
• Daniel Perli, MD, MBA
• Julie Permut, LIC. AC.
• Linda M Perry
• Kimberly A Persson, OTR

• All providers in Peterborough, NH
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.