Individual provider Active NPI

Charles Alan Peter, DMD

  • Dentist
  • Clearwater, FL
National Provider Identifier
1932181963
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10128 Issued in FL
Practice address
29605 US Highway 19 N
Ste 310
Clearwater, FL 33761-1537
Phone
(727) 785-7202
Fax
(727) 785-6985
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10128 FL Primary

Addresses

Primary practice location

29605 US Highway 19 N
Ste 310
Clearwater, FL 33761-1537

Mailing address

29605 US Highway 19 N
Ste 310
Clearwater, FL 33761-1540
Phone (727) 785-7202

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10128FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Kanach DMD PA PastSince Jan 12, 2020 Accepting new patients
Bernier Neuropsychology LLC PastSince Jan 3, 2021 Accepting new patients

Organizations & group practices 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932181963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N",
            "address_2": "STE 310",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611540",
            "telephone_number": "727-785-7202",
            "fax_number": "727-785-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N",
            "address_2": "STE 310",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611537",
            "telephone_number": "727-785-7202",
            "fax_number": "727-785-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.