DR. LEON ROBERT PECK DDS PH.D. NPI 1538185376

NPI Information

  • NPI: 1538185376
  • Provider Name: DR. LEON ROBERT PECK, DDS, PH.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8500 WILSHIRE BLVD
    SUITE 815
    BEVERLY HILLS, CA
    ZIP 90211
  • Phone: (310) 657-6363

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NPI Details

DR. Leon Robert Peck, DDS, PH.D. is an oral and maxillofacial surgery dentist in Beverly Hills, CA with 54 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Leon Robert Peck, DDS, PH.D. NPI is 1538185376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8500 WILSHIRE BLVD
SUITE 815
BEVERLY HILLS, CA
ZIP 90211-121
Phone: (310) 657-6363
Fax: (310) 652-5785

The NPI 1538185376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of teeth, less than full mouth (HCPCS:70310)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Simple drainage of abscess, cyst, or blood accumulation of mouth (HCPCS:40800)
  • Repair of tissue connecting tongue to floor of mouth (HCPCS:41520)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery38348CALIFORNIANo
21223S0112XDentistOral and Maxillofacial Surgery38348CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U54089MEDICARE UPINCALIFORNIA
2B38348-01MEDICAIDCALIFORNIA
3D38348MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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