Robert B, Peak, DDS, PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

16382 Issued in TX

Legal business name

ROBERT B, PEAK, DDS, PLLC

Practice address

900 Jerome St
Suite 140
Fort Worth, TX 76104-3945

Phone

(817) 205-2340

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Heather McLaughlin

Title

Practice Administrator

Phone

(817) 205-2340

Specialties & licenses 1

Addresses

Other names 1

• Midtown Oral Surgery Doing business as

Locations

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1972908309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043945",
            "telephone_number": "817-205-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043945",
            "telephone_number": "817-205-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B, PEAK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-205-2340"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "16382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baker Mays Roberson
• Brandon A Roberson, MD
• Michelle L Roberson, LMSW
• Tracey Roberson, MS, RN, FNP-C
• Robert a Bloom MD PLLC
• Robert Batton DDS Inc
• Robert D. Esparza, DDS, PC
• Robert D. Esparza, DDS, PC
• Robert D. Menzies, MD, PLLC
• Robert D. Menzies, MD, PLLC

• Oral and Maxillofacial Surgery Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.