FRANK PEACOCK


Address: 530 Demoss Street, Lordsburg, NM 88045
Phone: 5055428384

FRANK PEACOCK (NPI# 1508864133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508864133
Entity Type Individual
Full Name FRANK PEACOCK
Credential DDS
Practice Address 530 Demoss Street
Lordsburg
NM 88045
Mailing Address Po Box 550
530 Demoss Street
Lordsburg
NM 88045-0550
Practice Telephone 5055428384
Practice Fax Number 5055428387
Mailing Telephone 5055428384
Mailing Fax Number 5055428387
Enumeration Date 2005-07-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics 		DD2148 NM Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 45928011 05

Office Location

Street Address 530 DEMOSS STREET
City LORDSBURG
State NM
Zip Code 88045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588661375 Marlene G. Baska Physician Assistant 530 Demoss Street, Lordsburg, NM 88045-2618 2005-07-07
1962839092 James Wyatt Lines Dentist 530 Demoss Street, Lordsburg, NM 88045-2618 2013-10-03
1982953717 Della Borrego Upton Case Manager/Care Coordinator 530 Demoss Street, Lordsburg, NM 88045-2618 2012-09-07
1982987749 Julie Eldredge Fitzgerald Physician Assistant 530 Demoss Street, Hidalgo Medical Services, Lordsburg, NM 88045-2618 2011-09-27
1720393374 Korinne D Pacheco Counselor 530 Demoss Street, Lordsburg, NM 88045-2618 2010-08-06
1679809479 Ricardo Rios Jr. Chiropractor 530 Demoss Street, Lordsburg, NM 88045-2618 2009-10-29
1619200656 Johnny Ray Flores Counselor 530 Demoss Street, Lordsburg, NM 88045-2618 2009-09-09
1285863738 Hidalgo Medical Services Chiropractor 530 Demoss Street, Lordsburg, NM 88045-2618 2009-07-06
1508022138 Hasani Kudura Counselor 530 Demoss Street, Hidalgo Medical Services Inc, Lordsburg, NM 88045-2618 2008-08-04
1881873388 Andrea Arta Riley Registered Nurse 530 Demoss Street, Lordsburg, NM 88045-2618 2007-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801224969 Patrick Kelly Saucedo Case Manager/Care Coordinator 332 E. Motel Dr., Lordsburg, NM 88045 2013-10-28
1952749459 Edgar Eduardo Gomez Case Manager/Care Coordinator 332 East Motel Drive, Lordsburg, NM 88045 2013-06-06
1265601652 Kristene C. Sheryl Counselor 332 E. Motel Drive, Lordsburg, NM 88045 2008-02-29
1811396823 Efstathia Yerende Counselor 530 De Moss St, Lordsburg, NM 88045 2014-08-14
1073931457 Kerena Barron Case Manager/Care Coordinator 332 East Motel Drive, Lordsburg, NM 88045 2014-04-02
1972711687 Steven Cecil Jones Pharmacist 530 Demoss St, Lordsburg, NM 88045 2007-05-18
1497878003 Sara C Johnson Speech-Language Pathologist 500 Ownby St, Lordsburg, NM 88045 2007-04-09
1669429189 Abeyta Physical Therapy & Sports Medicine Inc Physical Therapist 114 E Motel Dr, Lordsburg, NM 88045 2006-05-29
1235143819 James Bartlem Holder IIi Internal Medicine 167 North Main Street, Tuba City, AZ 88045-0600 2006-07-28
1689881245 Hidalgo Medical Services Clinic/Center 501 W 4th St, Lordsburg, NM 88045-1643 2007-05-16
Find all providers in zip 88045

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568063576 Clovis Orthodontics, Pllc Dentist 901 E 21st St Ste A, Clovis, NM 88101-4492 2020-11-05
1053956466 Cabezon Orthodontics Dentist 2401 Cabezon Blvd Se Ste 104, Rio Rancho, NM 87124-1513 2019-11-08
1215416524 Aday Orthodontics, PC Dentist 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 2018-08-08
1558746099 Las Cruces Smiles Dentist 1160 Commerce Dr Ste B, Las Cruces, NM 88011-8209 2015-07-27
1215339270 Thomas Dunn Dentist 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 2014-09-22
1871902593 Sundance Orthodontics LLC Dentist 3903 Beckland Dr, Farmington, NM 87402-4701 2014-08-06
1750622072 Orthodental PC Dentist 1748 W Maloney Ave, Gallup, NM 87301-3333 2013-03-12
1538416854 Darmitzel Orthodontics, LLC Dentist 400 Kiva Ct Ste A, Santa Fe, NM 87505-5878 2012-08-06
1467722116 Morris Orthodontics Pllc Dentist 1213c Us Highway 491, Gallup, NM 87301-4820 2012-01-11
1700153475 Michael J Fanning Dentist 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 2011-11-24
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Competitor

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City LORDSBURG
Zip Code 88045

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Dataset Information

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.

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