DR. ROBERT PEAK DDS
NPI 1235353301
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX
About Dr. Robert Peak Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROBERT PEAK DDS (NPI 1235353301) is an individual oral and maxillofacial surgery provider in Fort Worth, Texas, licensed in Texas (16382) and active in the NPI registry since April 2007. He has opted out of Medicare through July 12, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Robert Peak Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 12, 2024 through July 12, 2028.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Robert Peak's NPI number?
The NPI number for Robert Peak is 1235353301. It was assigned to this individual provider in the NPPES registry on April 12, 2007.
Where is Robert Peak located?
Robert Peak practices at 900 Jerome St Suite 140, Fort Worth, TX 76104. The listed phone number is (817) 522-1833.
What is Robert Peak's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Robert Peak enrolled in Medicare?
No. Robert Peak has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Robert Peak was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Robert Peak, DDS · NPI 1235353301
Oral and Maxillofacial Surgery provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1235353301 (Entity type: Individual)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 16382 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 JEROME ST, SUITE 140, Fort Worth, TX 76104-3945
- **Phone:** (817) 522-1833
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 12, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 22, 2014
- **Other identifiers:** Other 85D054 (TX); Medicare UPIN U52340 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1235353301) · Data from the CMS NPPES public registry.