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JONATHAN DALE PECKHAM
NPI 1992130884
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since September 10, 2013
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5445 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Aug 27, 2020, Feb 23, 2017 (3 updates tracked since 2017).

About Jonathan Dale Peckham NPPES

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

JONATHAN DALE PECKHAM (NPI 1992130884) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1992130884
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN DALE PECKHAM
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2601 E Roosevelt StPhoenix, AZ 85008-4973 · (602) 344-5445
Phone(602) 344-5445
Sole ProprietorYes
Enumeration DateSeptember 10, 2013
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1992130884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2601 E ROOSEVELT ST, Phoenix, AZ 85008
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Reviews for JONATHAN DALE PECKHAM

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

DR. SCOTT L. VAN DA HUVEL
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. RONALD W. MARCUS D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. CRAIG W. POOL D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. PAUL C. ROHNER D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. SONJA A. CARL D.M.D.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. TERRENCE T. YU D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. JERILYN A. PETROVICH D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. GENE M. GARSHA D.M.D.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. DOUGLAS C. RHODES D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. GERALDINE A. FALCONER-FERNEAU N.P.
Nurse Practitioner
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. BEVERLY R. CHARMAN N.N.P.
Nurse Practitioner (Neonatal)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. KATHLEEN E. OPEL N.N.P.
Nurse Practitioner (Neonatal)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. ROSCOE C. WILLIAMS D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. MARGARET E. GATEWOOD N.N.P.
Nurse Practitioner (Neonatal)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. PATRICIA J. JOHNSON N.N.P.
Nurse Practitioner (Neonatal)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. ROBERTA M. VIDULICH N.P.
Nurse Practitioner
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
MS. SUSAN M. VITUS N.P.
Nurse Practitioner
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. DAVID M. KOLINSKI D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. JOHN M. MANN D.D.S.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. PAULINE J. TOM D.M.D.
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011

Frequently Asked Questions

What is Jonathan Peckham's NPI number?

The NPI number assigned to this healthcare provider is 1992130884, enumerated as an "individual" on September 10, 2013.

Where is the provider located?

The provider is located at 2601 E ROOSEVELT ST PHOENIX, AZ 85008 and the phone number is (602) 344-5445.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.