Active NPI
Megan Peter
- Dentist
- Salem, OR
National Provider Identifier
1891420915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11644
- Practice address
- 142 Pembrook St SE
Salem, OR 97302-5038 - Phone
- (855) 433-6825
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11644 | OR | Primary |
Addresses
Primary practice location
142 Pembrook St SE
Salem, OR 97302-5038
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Other practice location 1
2225 Pacific Blvd SE Ste 201
Albany, OR 97321-7904
Phone (855) 433-6825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221221002089 | OR | Order and Referring Only - Dentist | 0244600989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1891420915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 NE CAMPUS WAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 PEMBROOK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973025038",
"telephone_number": "855-433-6825"
}
],
"practiceLocations": [
{
"address_1": "2225 Pacific Blvd SE Ste 201",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973217904",
"country_code": "US",
"telephone_number": "855-433-6825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETER",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.