DR. MICHAEL A. PECK (NPI# 1255543146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255543146 |
Entity Type | Individual |
Full Name | DR. MICHAEL A. PECK |
Credential | D.D.S., M.S. |
Practice Address |
5038 Tennyson Pkwy Suite A Plano TX 75024-2954 |
Practice Telephone | 9724038700 |
Practice Fax Number | 9724038788 |
Mailing Telephone | 9724038700 |
Mailing Fax Number | 9724038788 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2009-11-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
13995 | TX | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
13995 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477637130 | Michael Stephan Peck | Chiropractor | 660 W 7th St, San Pedro, CA 90731-3118 | 2006-10-25 |
1023026176 | Michael Lloyd Peck | Optometrist | 517 W Maine Ave, Enid, OK 73701-5542 | 2006-08-04 |
1881629806 | Michael J Peck | Chiropractor | 1530 Avenue O, Huntsville, TX 77340-4452 | 2006-07-11 |
1477193597 | Michael Andrew Peck | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-01-07 |
1265825988 | Michael Lawrence Peck | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2015-03-05 |
1861823353 | Michael Peck | Counselor | 122 1st St, Chestertown, MD 21620-1983 | 2013-12-09 |
1770712424 | Michael Scott Peck | Podiatrist | 1155 Kelly Johnson Blvd, #310, Colorado Springs, CO 80920-3932 | 2009-07-02 |
1881801017 | Michael Wayne Peck | Specialist/Technologist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2007-05-17 |
1740328491 | Michael L Peck | Psychologist | 10642 Santa Monica Blvd, Los Angeles, CA 90025-4525 | 2007-02-02 |
1336210806 | Michael Peck | Specialist | 1130 Eagle Rock Rd, Colorado Springs, CO 80918-3906 | 2006-11-13 |
Street Address |
5038 TENNYSON PKWY SUITE A |
City | PLANO |
State | TX |
Zip Code | 75024-2954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427126408 | Geoffrey G. Glidden,md Pa | Orthopaedic Surgery | 5038 Tennyson Pkwy, Suite B, Plano, TX 75024-2954 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
Find all providers in zip 75024 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891237038 | Planotop,inc | Dentist | 8000 Coit Rd, #200, Plano, TX 75025-6819 | 2016-11-04 |
1598996852 | Rashmi Hegde | Dentist | 5933 Dallas Pkwy, Suite 100, Plano, TX 75093-8520 | 2009-08-05 |
1548395064 | Jeffrey Glaser | Dentist | 3800 W 15th St Ste 124, Plano, TX 75075-7726 | 2007-02-23 |
1134158330 | Dental Implant Surgery Center | Dentist | 7965 Custer Road, Suite 114, Plano, TX 75025-3155 | 2006-07-01 |
1649600966 | David Dean I | Dentist | 3900 American Dr, Suite 101, Plano, TX 75075-6191 | 2013-11-22 |
1942433727 | Paul Chi-lin Tsai | Dentist | 4949 Hedgcoxe Rd, Suite 160, Plano, TX 75024-3898 | 2009-08-27 |
1306067632 | Stephen L. Bass | Dentist | 5932 W Parker Rd, Suite 700, Plano, TX 75093-6425 | 2007-05-02 |
1720209067 | Elizabeth Ellen Hall | Dentist | 5932 W Parker Rd, Suite 700, Plano, TX 75093-6425 | 2007-05-02 |
1538382114 | North Texas Periodontal Associates | Dentist | 3900 American Dr, 101, Plano, TX 75075-6191 | 2007-04-11 |
1760486252 | Elizabeth Draughon Jaynes | Dentist | 5800 Coit Rd, Ste 300, Plano, TX 75023-5944 | 2005-06-13 |
Find all providers in PLANO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.