DR. DAVID J PECKHAM (NPI# 1518070507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518070507 |
| Entity Type | Individual |
| Full Name | DR. DAVID J PECKHAM |
| Credential | DDS |
| Practice Address |
1133 Jackson Sidney NE 69162 |
| Mailing Address |
2658 El Rancho Rd Sidney NE 69162 |
| Practice Telephone | 3082542065 |
| Practice Fax Number | 3082542731 |
| Mailing Telephone | 3082540126 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6113 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548411796 | David Howard Peckham | Physician Assistant | 8 Market Xing, Plymouth, MA 02360 | 2008-10-07 |
| Street Address |
1133 JACKSON |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| Find all providers in zip 69162 | ||||
| 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 |
|---|---|---|---|---|
| 1831560606 | Sidney Dental Associates; Inc | Dentist | 1465 N Vandemark Rd, Sidney, OH 45365-3547 | 2015-10-19 |
| 1063626752 | David Melvin Bornstein | Dentist | 39 Delaware Avenue, Sidney, NY 13838 | 2007-05-10 |
| 1508924739 | John K Boedigheimer Dds Inc | Dentist | 1445 N Main Ave, Sidney, OH 45365-1782 | 2006-12-04 |
| 1285725499 | William Lee Huskey | Dentist | 2150 Wapakoneta Ave, Sidney, OH 45365-1444 | 2006-09-27 |
| 1679126858 | Nicole Elizabeth Lochard | Dentist | 425 W Russell Rd, Sidney, OH 45365-1454 | 2019-07-17 |
| 1821563115 | Robert Louis O'donnell Jr. | Dentist | 1550 W Sidney Rd, Sidney, MI 48885-9748 | 2018-10-12 |
| 1699283523 | Marc Allen Kanetsky | Dentist | 1445 N Main Ave, Sidney, OH 45365-1782 | 2018-01-12 |
| 1477937803 | Franco Rene Ferrara | Dentist | 1405 4th St Sw, Sidney, MT 59270-3515 | 2015-07-15 |
| 1518108133 | John Kennedy Boedigheimer | Dentist | 1445 N Main Ave, Sidney, OH 45365-1782 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1821609710 | Chaeli Ford | Dentist | 3672 Lexington Ave, Bellevue, NE 68123-1321 | 2020-08-13 |
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1265050140 | Brittany Ann Albers | Dentist | 3600 W Norfolk Ave, Norfolk, NE 68701-7702 | 2020-07-08 |
| 1063038255 | Brock Bernard Lewis | Dentist | 1904 South St Ste 103, Blair, NE 68008-1964 | 2020-06-23 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1508427626 | Ehsan Mostaghni | Dentist | 4000 E Campus Loop S Dept Of, Lincoln, NE 68583-1530 | 2019-06-28 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1023676582 | Sarah C Schroeder | Dentist | 610 Main St Ste A, Adams, NE 68301-7793 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
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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.