Shelli Rae Peters, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

20184 Issued in TX

Practice address

18700 W Lake Houston Pkwy
#A107
Humble, TX 77346-3349

Phone

(281) 964-1001

Fax

(281) 852-6770

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in TX

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sky Dental, P.a.

  • Dentist
  • Atascocita, TX
  • NPI 1972758605
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861693806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 W LAKE HOUSTON PKWY",
            "address_2": "#A107",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463349",
            "telephone_number": "281-964-1001",
            "fax_number": "281-852-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 W LAKE HOUSTON PKWY",
            "address_2": "#A107",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463349",
            "telephone_number": "281-964-1001",
            "fax_number": "281-852-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SHELLI",
        "middle_name": "RAE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meljun Figueroa Perez, ACNPC-AG
• Linda Perkins, RN
• Patricia Perry, R.N.
• Personalized Focus Care LLC
• Camila Peruchena
• Kimberly Denise Petitt, DO
• Joshua Rashon Petty, PMHNP-BC
• Judith Tombobi Peyechu, M.D.
• Jennie Pham
• Kevin Van Pham, OD

• Dentist in Humble, TX
• Providers in Humble, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.