Jason Joshua Peacock, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DE 00011243 Issued in WA

Practice address

6 Loudon Rd
#202
Concord, NH 03301-5345

Phone

(603) 228-1066

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 5, 2016 through May 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jason J Peacock DDS, Ms, PLLC

  dba Riverview Dental Associates

  • Prosthodontics
  • Concord, NH
  • NPI 1912312190
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1962665976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD",
            "address_2": "#202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015345",
            "telephone_number": "603-228-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD",
            "address_2": "#202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015345",
            "telephone_number": "603-228-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "JASON",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE 00011243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth Payne, LCMHC
• Delaney Payne, LICSW
• Lindsay S Payne, PA-C
• Melissa Pazdon, MED
• Peace of Mind Home Care
• Germain F Peagui
• Jennifer Pearl
• Lynn Pearson, LICSW
• Martha Pearson, LICSW
• Ashley Peasley

• Prosthodontics in Concord, NH
• Providers in Concord, NH by specialty
• Prosthodontics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.