Peter Nocka

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1804 Grizzly Mountain Dr
South Lake Tahoe, CA 96150-9345

Phone

(978) 761-1563

NPI assigned

Mar 12, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1831046523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 GRIZZLY MOUNTAIN DR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509345",
            "telephone_number": "978-761-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 GRIZZLY MOUNTAIN DR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509345",
            "telephone_number": "978-761-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCKA",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane David Nibley
• Nicole H. Buell, D.D.S. Inc.
• Nicole M Jane, DDS, Ms, PC
• Stepanie Ann Niederman, L.AC., DIPL. OF ACUP
• Elisabeth Nigrini, MD
• Meagan Nordstrom, MD
• Daniel Arthur Norman, MD
• Jenifer Elyce Norris, MD
• Lynn Dorothy Norton, RD
• Lydia B O'Bannon, PA-C

• Student in an Organized Health Care Education/Training Program in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.