Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1699840991 Deactivated / Inactive NPI Male Practitioner

Dr. John Martin Peacock , DDS

Dentist • Elgin, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Peacock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2006
NPI Deactivation Date February 24, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Peacock, DDS was a registered Dentist practicing in Elgin, IL. Throughout an active medical career spanning 15 years, Dr. Peacock provided care at the practice location at 320 N MCLEAN BLVD until profile deactivation on 2021-02-24.

Practice Location & Contact Primary Location

Practice Address

320 N Mclean Blvd

Elgin, IL 60123

Telephone 8476972550
Fax 8476970308
Associated Practice Facility / Clinic
🏢 Peacock Dental Associates Ltd Facility NPI 1346315645

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Elgin, IL (4751 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Felicia Chu

Dentist - General Practice

NPI 1154490829

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 24, 2021

Record deactivated on February 24, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 320 N MCLEAN BLVD, ELGIN, IL 60123 (Tel: 8476972550)

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Updated Business Mailing Address July 08, 2007

Registered at 35W 181 FRONTENAC DRIVE, WEST DUNDEE, IL 60118 (Tel: 8474280220)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PEACOCK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration November 21, 2006

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: 1699840991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Deactivation Date: February 24, 2021

Mailing Address

35w 181 Frontenac Drive

West Dundee, IL 60118

Phone: 8474280220

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.