ROBERT B, PEAK, DDS, PLLC (NPI# 1972908309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972908309 |
| Entity Type | Organization |
| Organization Name | ROBERT B, PEAK, DDS, PLLC |
| Other Organization Name | MIDTOWN ORAL SURGERY |
| Practice Address |
900 Jerome St Suite 140 Fort Worth TX 76104-3945 |
| Practice Telephone | 8172052340 |
| Mailing Telephone | 8172052340 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | HEATHER MCLAUGHLIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8172052340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
16382 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midtown Oral Surgery | Doing Business As Name - Organization |
| Street Address |
900 JEROME ST SUITE 140 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235353301 | Robert Peak | Dentist | 900 Jerome St, Suite 140, Fort Worth, TX 76104-3945 | 2007-04-12 |
| 1124576715 | Adenike Atanda | Pharmacist | 900 Jerome St, Suite 400, Fort Worth, TX 76104-3945 | 2016-09-13 |
| 1699132381 | Stephen's Pedi & Pulmonary Practice, Pa | Pediatrics | 900 Jerome St, 102, Fort Worth, TX 76104-3945 | 2016-01-26 |
| 1962874552 | Metroplex Urology and Transplant Surgery Pllc | Specialist | 900 Jerome St, Suite 304, Fort Worth, TX 76104-3945 | 2015-10-22 |
| 1902232754 | Raymona Nicole Wilburn | Nurse Practitioner | 900 Jerome St, Suite 102, Fort Worth, TX 76104-3945 | 2013-09-24 |
| 1669807806 | Olufunke Jaiyeola | Pharmacist | 900 Jerome St, Suite 100, Fort Worth, TX 76104-3937 | 2013-09-06 |
| 1386965234 | Daniel Jetton Mcgilvray | Family Medicine | 900 Jerome St, Fort Worth, TX 76104-3945 | 2010-06-15 |
| 1366639742 | Metroplex Pediatrics | Pediatrics | 900 Jerome St, Ste 102, Fort Worth, TX 76104-3945 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344933 | Twtsa, LLC. | Clinic/Center | 6025 Harris Pkwy, Fort Worth, TX 76132-4103 | 2020-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028142 | Crownridge Dental | Clinic/Center | 6827 Camp Bullis Rd Ste 302, San Antonio, TX 78256-1730 | 2020-06-23 |
| 1811491244 | Stephen Barker Dds Pllc | Clinic/Center | 9803 Highway 242 Ste 700, Conroe, TX 77385-4370 | 2018-03-21 |
| 1144758954 | Telfair Oral and Maxillofacial Surgery Pllc | Clinic/Center | 13440 University Blvd Ste 250, Sugar Land, TX 77479-4798 | 2017-05-24 |
| 1255719100 | South Houston Oral,facial&implant Surgery Center | Clinic/Center | 2537 Houston Ave, Pearland, TX 77581-4231 | 2015-05-12 |
| 1578973483 | Mazen Duraini, Dds, Md, Pllc | Clinic/Center | 6753 Cabrillo, Irving, TX 75039-3223 | 2014-04-30 |
| 1912221029 | Sharon H Ornstein, Dds, Pa | Clinic/Center | 6351 N Preston Rd, Suite 200, Fisco, TX 75034 | 2010-03-18 |
| 1437397148 | Oral & Maxillofacial Surgery Affiliates, P.C. | Clinic/Center | 7030 Sanger Ave, Suite 100, Waco, TX 76712 | 2009-02-03 |
| 1912150111 | Waterford Dental Specialists, Pllc | Clinic/Center | 5246 S. 31st St., Temple, TX 76502 | 2008-10-31 |
| 1790778314 | Aesthetic Oral & Facial Surgical Center of The Southwest, PC | Clinic/Center | 1850 Keller Pkwy, Suite 102, Keller, TX 76248-3706 | 2005-08-30 |
| 1063987626 | River City Oral and Maxillofacial Surgery, Pllc | Clinic/Center | 5418 N Loop 1604 E, Suite 101, San Antonio, TX 78023 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.