JASON J PEACOCK DDS, MS, PLLC (NPI# 1912312190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912312190 |
| Entity Type | Organization |
| Organization Name | JASON J PEACOCK DDS, MS, PLLC |
| Other Organization Name | RIVERVIEW DENTAL ASSOCIATES |
| Practice Address |
6 Loudon Rd Suite 202 Concord NH 03301-5345 |
| Practice Telephone | 6032281066 |
| Practice Fax Number | 6032285305 |
| Mailing Telephone | 6032281066 |
| Mailing Fax Number | 6032285305 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | JASON J PEACOCK (DENTIST/OWNER) |
| Authorized Official Telephone | 6032281066 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 03968 | NH | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
03968 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3081496 | 05 |
| Other Name | Type Code |
|---|---|
| Riverview Dental Associates | Doing Business As Name - Organization |
| Street Address |
6 LOUDON RD SUITE 202 |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114970241 | Richard J. Rosato | Dentist | 6 Loudon Rd, Suite 204, Concord, NH 03301-5321 | 2006-05-18 |
| 1285088849 | Whole Health Chiropractic | Chiropractor | 6 Loudon Rd, Suite 303, Concord, NH 03301-5345 | 2016-04-20 |
| 1831509512 | Joan Fitzgerald | Dental Hygienist | 6 Loudon Rd, Concord, NH 03301-5345 | 2014-05-02 |
| 1962665976 | Jason Joshua Peacock | Dentist | 6 Loudon Rd, #202, Concord, NH 03301-5345 | 2008-07-09 |
| 1831304294 | Laurie A. Rosato, Dmd | Dentist | 6 Loudon Rd, Suite 2, Concord, NH 03301-5321 | 2007-05-11 |
| 1730209776 | Laurie Anne Rosato | Dentist | 6 Loudon Rd, Suite 2, Concord, NH 03301-5321 | 2007-03-31 |
| 1205954740 | Charles Joseph Thomas II | Dentist | 6 Loudon Rd, Suite 6, Concord, NH 03301-5321 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790808525 | Richard Louis Bellagamba | Dentist | 2939 Salvio St, Concord, CA 94519-2534 | 2007-04-08 |
| 1215959234 | Nicholas Peter Kondon | Dentist | 290 Baker Avenue, Suite S203, Concord, MA 01742 | 2006-07-25 |
| 1295183150 | Mark Y. Wang | Dentist | 290 Baker Avenue, Suite S-104, Concord, MA 01742 | 2016-06-01 |
| 1003158726 | Nicholas P. Kondon Dmd, PC | Dentist | 290 Baker Ave., Suite S-203, Concord, MA 01742-2189 | 2013-03-20 |
| 1205165586 | Inna Amirian | Dentist | 290 Baker Ave, Concord, MA 01742-2189 | 2009-12-15 |
| 1962665976 | Jason Joshua Peacock | Dentist | 6 Loudon Rd, #202, Concord, NH 03301-5345 | 2008-07-09 |
| 1457436800 | Jon W. Samaha | Dentist | 13 Wall St, Concord, NH 03301-3742 | 2006-10-26 |
| 1639281892 | Mark Y Wang | Dentist | 290 Baker Ave, Suite S104, Concord, MA 01742 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598043986 | David Daniel Anzel | Dentist | 602 Riverway Pl Ste A, Bedford Commons, Bedford, NH 03110-6752 | 2011-08-02 |
| 1326360652 | Mehdi Karimipour-saryazdi | Dentist | 25 Buttrick Rd Ste C1, Londonderry, NH 03053-3353 | 2010-03-01 |
| 1295867257 | John Lee Chiou | Dentist | 475 Washington Rd., Rye, NH 03870-5431 | 2007-03-12 |
| 1659806263 | Union Street Dental Pllc | Dentist | 320 Union St, Portsmouth, NH 03801-5052 | 2017-04-21 |
| 1487886503 | Bedford Center for Prosthodontics | Dentist | 169 S River Rd, Bedford, NH 03110-6971 | 2009-08-24 |
| 1902083033 | George A. Biron | Dentist | 1 Elliot Way, Elliot Hospital, Manchester, NH 03103 | 2008-01-31 |
| 1265639439 | Timothy L. Mckinney Dds P.C. | Dentist | 169 S River Rd, Bedford, NH 03110-6971 | 2007-06-29 |
| 1265657357 | Lisa B. Schulman, D.d.s. | Dentist | 200 Griffin Rd, Suite 9, Portsmouth, NH 03801-7145 | 2007-04-16 |
| 1114049814 | Paul J Connolly | Dentist | 207 Meetinghouse Rd, Bedford, NH 03110-6090 | 2007-04-04 |
| 1467514364 | Timothy Mckinney | Dentist | 169 S River Rd, Bedford, NH 03110-6971 | 2006-12-15 |
| 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.