Peg Proctor Acupuncture, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1986 Issued in CO

Legal business name

PEG PROCTOR ACUPUNCTURE, LLC

Practice address

2150 S Bellaire St
Unit B 201
Denver, CO 80222-4937

Phone

(517) 240-8314

Fax

(303) 423-2536

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Margaret C Proctor, LAC

Title

Owner

Phone

(517) 240-8314

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1801291653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 W DARTMOUTH AVE",
            "address_2": "UNIT 206",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275627",
            "telephone_number": "517-240-8314",
            "fax_number": "303-423-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S BELLAIRE ST",
            "address_2": "UNIT B 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224937",
            "telephone_number": "517-240-8314",
            "fax_number": "303-423-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEG PROCTOR ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-240-8314",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "1986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023434206",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Peeples
• Peer 1
• Cameron Peer, MD
• Patrece Hairston Peetz
• Stephanie Peetz, MA
• Robert Pegg, M.D.
• Katelyn Elizabeth Pegher, LPC
• Natalie Peguero, MA, NCC, LPC
• Celeste Annette Pegues
• Katherine A Pehl, MD

• Preferred Provider Organization in Denver, CO
• Providers in Denver, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.