Active NPI
Mary Elizabeth Peebles, DDS
- General Practice Dentistry
- Broomfield, CO
National Provider Identifier
1992811939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104627
- Practice address
- 899 US Highway 287 Ste 600
Broomfield, CO 80020-7319 - Phone
- (303) 460-9366
- Fax
- (303) 460-8056
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104627 | CO | Primary |
Addresses
Primary practice location
899 US Highway 287 Ste 600
Broomfield, CO 80020-7319
Mailing address
899 US Highway 287 Ste 600
Broomfield, CO 80020-7319
Phone (303) 460-9366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150407001868 | CO | Order and Referring Only - Dentist | 3173841996 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104627 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broomfield Premier Dentistry, PC | Past | Accepting new patients | |
| Mary Elizabeth Peebles-Turner, DDS, PC | General Practice | Past | 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.
-
- General Practice Dentistry
- Broomfield, CO
- NPI 1639285661
-
- Dental Clinic/Center
- Broomfield, CO
- NPI 1316707359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992811939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 US HIGHWAY 287 STE 600",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207319",
"telephone_number": "303-460-9366",
"fax_number": "303-460-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 US HIGHWAY 287 STE 600",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207319",
"telephone_number": "303-460-9366",
"fax_number": "303-460-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEBLES",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "104627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.