DR. LAURIE JEAN PECKHAM (NPI# 1932209780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932209780 |
| Entity Type | Individual |
| Full Name | DR. LAURIE JEAN PECKHAM |
| Credential | D.D.S. |
| Practice Address |
6425 Wadsworth Blvd Suite 209 Arvada CO 80003-4438 |
| Practice Telephone | 3034216178 |
| Practice Fax Number | 3033255795 |
| Mailing Telephone | 3034216178 |
| Mailing Fax Number | 3033255795 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5463 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02054633 | 05 |
| Street Address |
6425 WADSWORTH BLVD SUITE 209 |
| City | ARVADA |
| State | CO |
| Zip Code | 80003-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447288329 | Fred J Lewin | Chiropractor | 6425 Wadsworth Blvd, Ste 100, Arvada, CO 80003-4438 | 2006-06-29 |
| 1588050447 | Jennifer Massa | Dental Hygienist | 6425 Wadsworth Blvd, Arvada, CO 80003-4438 | 2015-04-07 |
| 1437379211 | Justin Carmelo Piraino | Audiologist | 6425 Wadsworth Blvd, Suite 110, Arvada, CO 80003-4438 | 2007-04-26 |
| 1992875785 | William Joseph Green | Dentist | 6425 Wadsworth Blvd, Suite 102, Arvada, CO 80003-4439 | 2006-11-08 |
| 1235168527 | Mission Chiropractic Inc | Chiropractor | 6425 Wadsworth Blvd, Ste 100, Arvada, CO 80003-4438 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625581 | Kymber Janelle Stephenson | Dietitian, Registered | 8120 Sheridan Blvd., Building C, Suite C-315, Westminister, CO 80003 | 2020-06-30 |
| 1023631330 | William Gaub | Counselor | 7585 W. 66th Ave, Bldg C, Arvada, CO 80003 | 2020-05-20 |
| 1396214607 | Ana M. Sandoval | Licensed Practical Nurse | 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 | 2018-11-15 |
| 1740799386 | Spirit of Knightingale Home Care LLC | In Home Supportive Care | 6120 West 70th Avenue, Arvada, CO 80003 | 2017-09-27 |
| 1063931640 | Above and Beyond Enterprises | Respite Care | 6432 West 78th Ave., Arvada, CO 80003 | 2017-09-14 |
| 1194246058 | Ascent Medical LLC | Psychiatry & Neurology | 5375 W 73rd Place, Westminster, CO 80003 | 2017-06-30 |
| 1952853772 | Metro Community Provider Network, Inc. | Clinic/Center | 6303 Wadsworth Bypas, Arvada, CO 80003 | 2016-10-27 |
| 1003296765 | Carrie Mirfield | Massage Therapist | 8725 Wadsworth Blvd., Ste A, Arvada, CO 80003 | 2015-06-08 |
| 1831595073 | Steven Maya | Counselor | 6455 Sheridan Blvd., #236, Arvada, CO 80003 | 2014-11-17 |
| 1912300476 | Christine Renee Bowles | Counselor | 8120 Sheridan Blvd, Building C, Suite 310, Building C, Suite 310, Westminster, CO 80003 | 2014-09-29 |
| Find all providers in zip 80003 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1356991863 | Arvada Dentistry and Orthodontics Pllc | Dentist | 5656 Ward Way Ste C, Arvada, CO 80002-1346 | 2019-09-17 |
| 1417501180 | My Local Colorado Dental Practice, LLC | Dentist | 8410 Wadsworth Blvd Unit G, Arvada, CO 80003-0918 | 2019-07-30 |
| 1720570088 | David Chen | Dentist | 12191 W 64th Ave Ste 202, Arvada, CO 80004-4030 | 2018-06-02 |
| 1205383965 | Adam James Schwab | Dentist | 5400 Ward Rd Bldg 2-100, Arvada, CO 80002-1821 | 2016-09-09 |
| 1760838825 | Evelyn Qi | Dentist | 12650 W 64th Ave Unit J, Arvada, CO 80004-3887 | 2016-05-09 |
| 1801263900 | Michael W Woods Dds PC | Dentist | 5730 Ward Rd Ste 203, Arvada, CO 80002-1300 | 2015-08-25 |
| 1669849857 | Arvada Smiles Dentistry, LLP | Dentist | 7470 W 52nd Ave, Arvada, CO 80002-3710 | 2015-08-24 |
| 1568843076 | Modern Dental Professionals Co PC | Dentist | 7985 Wadsworth Blvd Ste B, Arvada, CO 80003-2111 | 2015-06-11 |
| 1902174725 | Modern Dental Professionals Co, PC | Dentist | 7985 B Wadsworth Blvd, Arvada, CO 80003 | 2011-12-07 |
| Find all providers in ARVADA | ||||
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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.