Individual provider Active NPI

Peyton D Cometti, D.D.S.

  • Dentist
  • New Braunfels, TX
National Provider Identifier
1891175279
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30908 Issued in TX
Practice address
1583 Common St
Suite 102
New Braunfels, TX 78130-3173
Phone
(830) 608-1818
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30908 TX Primary
General Practice Dentistry 1223G0001X 30908 TX

Addresses

Primary practice location

1583 Common St
Suite 102
New Braunfels, TX 78130-3173

Mailing address

1583 Common St
Suite 102
New Braunfels, TX 78130-3173
Phone (830) 608-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Braunfels Dentists, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1891175279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 COMMON ST",
            "address_2": "SUITE 102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303173",
            "telephone_number": "830-608-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 COMMON ST",
            "address_2": "SUITE 102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303173",
            "telephone_number": "830-608-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMETTI",
        "first_name": "PEYTON",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30908",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

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