NPIMap

Organization Active NPI

Jason J Peacock DDS, Ms, PLLC

Doing business as Riverview Dental Associates

  • Prosthodontics
  • Concord, NH
National Provider Identifier
1912312190
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
03968 Issued in NH
Legal business name
JASON J PEACOCK DDS, MS, PLLC
Doing business as
Riverview Dental Associates
Practice address
6 Loudon Rd
Suite 202
Concord, NH 03301-5345
Phone
(603) 228-1066
Fax
(603) 228-5305
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Jason J Peacock, DDS, MSNPI 1962665976
Title
Dentist/Owner
Phone
(603) 228-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 03968 NH
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 03968 NH Primary

Addresses

Primary practice location

6 Loudon Rd
Suite 202
Concord, NH 03301-5345

Mailing address

6 Loudon Rd
Suite 202
Concord, NH 03301-5345
Phone (603) 228-1066

Other identifiers 1

IdentifierTypeStateIssuer
3081496MedicaidNH

Other names 1

  • Riverview Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

6 Loudon Rd
Ste 202
Concord, NH 03301
Phone (603) 228-1066

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1912312190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD",
            "address_2": "SUITE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015345",
            "telephone_number": "603-228-1066",
            "fax_number": "603-228-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD",
            "address_2": "SUITE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015345",
            "telephone_number": "603-228-1066",
            "fax_number": "603-228-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON J PEACOCK DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "603-228-1066",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "03968",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NH",
            "license": "03968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081496",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.