Dr Jonathan Richard Peyton, is a medicare enrolled "Oral Medicinist" provider in Charlotte, North Carolina. His current practice location is
Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 355-2165.
Dr Jonathan Richard Peyton is licensed to practice in North Carolina (license number 0295) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154053445.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Richard Peyton |
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| Gender | Male |
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| Speciality | Oral Medicinist |
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| Location | Cmc Dental Clinic, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154053445
- Provider Enumeration Date: 06/27/2022
- Last Update Date: 08/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284002064
- Enrollment ID: I20221129001622
Medical Identifiers
Medical identifiers for Dr Jonathan Richard Peyton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154053445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 0295 (North Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 0295 (North Carolina) | Secondary |
| 125Q00000X | Oral Medicinist | 0295 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Richard Peyton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Richard Peyton,
558 E Brooklyn Village Ave Apt 313,
Charlotte, NC 28202-3436
Ph: (980) 808-7035 | Dr Jonathan Richard Peyton,
Cmc Dental Clinic, 1000 Blythe Blvd,
Charlotte, NC 28203-5812
Ph: (704) 355-2165 |
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