DR. PETER MICHAEL BLOUGH DDS
NPI 1487093258
Dentist in Des Moines, IA

Active since June 14, 2013Opted out of Medicare · through Dec 29, 2027
1111 9TH ST, SUITE 190, DES MOINES, IA 50314(515) 244-9136 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter Michael Blough Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER MICHAEL BLOUGH DDS (NPI 1487093258) is an individual dentist in Des Moines, Iowa, licensed in Iowa (DDS-09131) and active in the NPI registry since June 2013. He has opted out of Medicare through December 29, 2027.

NPPES Registry Identity

NPI1487093258
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETER MICHAEL BLOUGHCredential: DDS
Location Address1111 9TH ST, SUITE 190Des Moines, IA 50314-2527
Mailing Address1111 9th St, Suite 190Des Moines, IA 50314-2527 · (515) 244-9136
Sole ProprietorNo
Enumeration DateJune 14, 2013
Last NPPES UpdateNovember 6, 2014
NPI 1487093258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in IA · DDS-09131 Licensed in WI · 7114-15
Definition
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.
1111 9TH ST, Des Moines, IA 50314

Accepted Insurance

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. Peter Michael Blough 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 December 29, 2021 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2021
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Dental Public Health)
1111 9TH ST, STE 190
DES MOINES, IA 50314
Adult Companion
1111 9TH ST, STE 320
DES MOINES, IA 50314
Dentist (General Practice)
1111 9TH ST, STE 190
DES MOINES, IA 50314

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 Peter Blough's NPI number?

The NPI number for Peter Blough is 1487093258. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Peter Blough located?

Peter Blough practices at 1111 9th St Suite 190, Des Moines, IA 50314. The listed phone number is (515) 244-9136.

What is Peter Blough's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Blough enrolled in Medicare?

No. Peter Blough has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Peter Blough accept?

Health plans from Delta Dental of Iowa list Peter Blough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Blough was last updated on November 6, 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.