DR. SCOTT RICHARD PECK (NPI# 1720058720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720058720 |
| Entity Type | Individual |
| Full Name | DR. SCOTT RICHARD PECK |
| Credential | D.D.S. |
| Practice Address |
9709 3rd Ave Ne Suite 400 Seattle WA 98115-2062 |
| Mailing Address |
1144 High School Rd Ne Bainbridge Island WA 98110-3908 |
| Practice Telephone | 2063226100 |
| Mailing Telephone | 2068558108 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60263888 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730137704 | Scott Harris Peck | Specialist/Technologist | 7070 Stampede Blvd Nw, Bremerton, WA 98311-8927 | 2006-05-04 |
| Street Address |
9709 3RD AVE NE SUITE 400 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109280 | Rebecca E Resnick | Social Worker | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2020-09-21 |
| 1306299920 | Alaina Garrie | Family Medicine | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2016-07-19 |
| 1760844757 | Eric P Sorensen | Dermatology | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2016-03-28 |
| 1740524263 | Anna M Wachtel | Occupational Therapist | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2012-11-21 |
| 1376805085 | Eric Seen Han Ong | Internal Medicine | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2012-06-10 |
| 1235412214 | Heather Gregory | Physician Assistant | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2011-09-26 |
| 1326331513 | Mahnaz Mellati | Internal Medicine | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2011-05-19 |
| 1235463092 | Kelle Rae Shutter | Pediatrics | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2009-09-28 |
| 1841420122 | Robin Joy Smith | Physician Assistant | 9709 3rd Ave Ne, Suite 309, Seattle, WA 98115 | 2009-07-21 |
| 1891727798 | Joseph Anthony Passanante | Emergency Medicine | 9709 3rd Ave Ne, Seattle, WA 98115-2062 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1972112514 | Victoria Chang | Dentist | 4437 41st Ave Sw Unit A, Seattle, WA 98116-4218 | 2020-07-29 |
| 1952930281 | Luke Robert Taylor | Dentist | 1959 Ne Pacific Street Hsb Room B241, Seattle, WA 98195-0001 | 2020-04-07 |
| 1700414372 | Morgan Fannon | Dentist | 1959 Ne Pacific Street Hsb# B241, Seattle, WA 98195-0001 | 2020-03-30 |
| 1467089318 | Parham A Tabar | Dentist | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-03-23 |
| 1447882725 | Banner Dental | Dentist | 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 | 2020-02-05 |
| 1043872203 | Teja Kotresh Neral | Dentist | 509 Olive Way Ste 1230, Seattle, WA 98101-1745 | 2019-07-08 |
| 1285295022 | Fadi Shaya | Dentist | 4700 42nd Ave Sw Ste 530, Seattle, WA 98116-4561 | 2019-06-24 |
| 1356803662 | Sarah Baik | Dentist | 424 19th Ave E Apt 101, Seattle, WA 98112-5350 | 2019-04-04 |
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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.