JAMES PECK DDS PLLC (NPI# 1164720520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164720520 |
| Entity Type | Organization |
| Organization Name | JAMES PECK DDS PLLC |
| Other Organization Name | REDBUD DENTAL |
| Practice Address |
18001 N Western Ave Ste 106 Edmond OK 73012 |
| Practice Telephone | 4055629550 |
| Mailing Telephone | 4055629550 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | DR. JAMES CALVIN PECK JR. (PRESIDENT) |
| Authorized Official Telephone | 4055629550 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6111 | OK | Dental Providers |
| Other Name | Type Code |
|---|---|
| Redbud Dental | Doing Business As Name - Organization |
| Street Address |
18001 N WESTERN AVE STE 106 |
| City | EDMOND |
| State | OK |
| Zip Code | 73012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740417328 | Yong Ki Hong | Dentist | 18001 N Western Ave Ste 106, Edmond, OK 73012 | 2009-06-22 |
| 1124402581 | Abhinav Bhatnagar | Dentist | 18001 N Western Ave Ste 106, Edmond, OK 73012 | 2015-07-16 |
| 1730317546 | James Calvin Peck Jr. | Dentist | 18001 N Western Ave Ste 106, Edmond, OK 73012 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| 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 |
|---|---|---|---|---|
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| 1831633296 | Jessie Kierl | Dentist | 2509 Thunderwind Cir, Edmond, OK 73034-6880 | 2016-12-05 |
| 1851762942 | Sneha Bharat Patel | Dentist | 4625 Shades Bridge Rd, Edmond, OK 73034-0835 | 2015-10-14 |
| 1194106013 | Perkins Dental Group | Dentist | 3901 E Covell Rd, Edmond, OK 73034-6909 | 2015-06-16 |
| 1831587575 | Legacy Dental Group | Dentist | 3901 E Covell, Edmond, OK 73034 | 2015-01-05 |
| 1285070805 | Deren Flesher | Dentist | 1308 N Kelly Ave, Edmond, OK 73003-3906 | 2013-05-22 |
| 1902242522 | Beau Porter | Dentist | 1616 S Boulevard, Edmond, OK 73013-5155 | 2013-05-22 |
| 1023245784 | Mathew Dean Hookom | Dentist | 3225 Teakwood Ln, Edmond, OK 73013-3721 | 2009-06-19 |
| 1255575502 | Tate Montgomery | Dentist | 3824 S Boulevard Ste 110, Edmond, OK 73013-5779 | 2009-04-29 |
| 1871754440 | Comprehensive Dental and Oral Care | Dentist | 1713a W 33rd St, Edmond, OK 73013-3819 | 2008-06-17 |
| Find all providers in EDMOND | ||||
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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.