Valentina Peachway DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

044277 Issued in NY

Legal business name

VALENTINA PEACHWAY DDS PC

Practice address

270 Avenue P
Brooklyn, NY 11204-4947

Phone

(718) 379-9090

Fax

(718) 375-6618

NPI assigned

Jul 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Valentina Peachway, DDS

Title

President/ Chief Periodontist

Phone

(718) 375-9090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1891994356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044947",
            "telephone_number": "718-379-9090",
            "fax_number": "718-375-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044947",
            "telephone_number": "718-379-9090",
            "fax_number": "718-375-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINA PEACHWAY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "PEACHWAY",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "PRESIDENT/ CHIEF PERIODONTIST",
        "authorized_official_telephone_number": "718-375-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "044277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentin Raksin, O.D., PC
• Alicia Valentin
• Christine Alyssa Valentin, M.A. SLP
• Kimberly Valentin
• Teresa Valentin
• Bronsen Kawika Valentine, RN
• Dhiviyan Valentine
• Jennifer J Valentine, LPN
• Sara Simmons Valentine, LCSW
• Sherry A Valentine, SPECIAL EDUCATION

• Periodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.