Individual provider Active NPI

William Maurice Peck, DDS,MPH

  • Public Health Dentistry
  • Chattanooga, TN
National Provider Identifier
1972594372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DS 2739 Issued in TN
Practice address
540 McCallie Ave
Suite 450
Chattanooga, TN 37402-2089
Phone
(426) 634-5889
Fax
(423) 634-3139
NPI assigned
Nov 3, 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
Public Health Dentistry 1223D0001X DS 2739 TN Primary

Addresses

Primary practice location

540 McCallie Ave
Suite 450
Chattanooga, TN 37402-2089

Mailing address

540 McCallie Ave
Suite 450
Chattanooga, TN 37402-2089
Phone (426) 634-5889

Other identifiers 1

IdentifierTypeStateIssuer
1854131MedicaidTN

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS 2739TNMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972594372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MCCALLIE AVE",
            "address_2": "SUITE 450",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022089",
            "telephone_number": "426-634-5889",
            "fax_number": "423-634-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MCCALLIE AVE",
            "address_2": "SUITE 450",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022089",
            "telephone_number": "426-634-5889",
            "fax_number": "423-634-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "WILLIAM",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "DDS,MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TN",
            "license": "DS 2739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854131",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

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.