Individual provider Active NPI

Peggy K Ting

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1912045113
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48040 Issued in CA
Practice address
4401 Ming Ave
Bakersfield, CA 93309-4817
Phone
(661) 397-7400
Fax
(661) 397-5639
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48040 CA Primary

Addresses

Primary practice location

4401 Ming Ave
Bakersfield, CA 93309-4817

Mailing address

15214 Oakencroft Dr
Bakersfield, CA 93314-4743
Phone (661) 397-7400

Other identifiers 1

IdentifierTypeStateIssuer
D48040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20221024000118 CA Practitioner - Dentist 0143528307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48040CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Oct 24, 2022 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Oct 24, 2022 Accepting new patients
Omni Family Health Past Accepting new patients
Omni Family Health Past Accepting new patients
Western Dental Services, Inc. Past Accepting new patients

Locations

6700 Niles St
Ste 185
Bakersfield, CA 93306

3800 Mall View Rd
Bakersfield, CA 93306

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

1100 4th St
Ste A
Taft, CA 93268

Interoperability endpoints

  • Direct secure messaging: peggy.ting.p1@direct.altura.nextgenshare.com
  • Direct secure messaging: peggy.ting.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912045113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 OAKENCROFT DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144743",
            "telephone_number": "661-397-7400",
            "fax_number": "714-571-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094817",
            "telephone_number": "661-397-7400",
            "fax_number": "661-397-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "PEGGY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D48040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.