Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902391824 Individual Practitioner Female Practitioner

Dr. Alyssa D Peake , DDS

Dentist - General Practice • Petaluma, CA

Professional Overview & Biography Verified Profile Summary

Dr. Alyssa Peake, DDS is a registered healthcare professional specializing in Dentist - General Practice in Petaluma, CA. Practice services are available at 855 LAKEVILLE ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

855 Lakeville St Ste 101

Petaluma, CA 949527328

Telephone 7077731234
Associated Practice Facility / Clinic
🏢 Praveena Permalla, Dds, Inc Facility NPI 1356654594

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Petaluma, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
40 Specialists

Practicing in Petaluma, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 100040

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Praveena Permalla , DDS

Dentist - General Practice

NPI 1801955778

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 12, 2023

Registered at 855 LAKEVILLE ST STE 101, PETALUMA, CA 949527328 (Tel: 7077731234)

📍
Updated Business Mailing Address January 12, 2023

Registered at 855 LAKEVILLE ST STE 101, PETALUMA, CA 949527328 (Tel: 7077731234)

📍
Updated Practice Location October 05, 2021

Registered at 6230 STATE FARM DR, ROHNERT PARK, CA 949282120 (Tel: 7077954523)

📍
Updated Business Mailing Address October 05, 2021

Registered at 6230 STATE FARM DR, ROHNERT PARK, CA 949282120 (Tel: 7077954523)

📍
Updated Business Mailing Address November 02, 2018

Registered at 8741 BROOKS RD S STE 201, WINDSOR, CA 954927854 (Tel: 7075791201)

NPI Profile Active June 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2018

Registered at 8741 BROOKS RD S STE 201, WINDSOR, CA 954927854 (Tel: 7075791201)

📍
Updated Business Mailing Address June 22, 2018

Registered at 29 HOWARTH CT, SANTA ROSA, CA 954055240 (Tel: 5209079572)

👤
Provider Name / Credentials Updated June 22, 2018

Recorded as ALYSSA PEAKE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Dentist (License #100040 in CA)

🟢
Initial NPI Registration & Enumeration June 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902391824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2018
Last Update: January 12, 2023
Sole Proprietor: Yes

Mailing Address

855 Lakeville St Ste 101

Petaluma, CA 949527328

Phone: 7077731234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.