NPI age
19 years
Enumerated 2006-12-21
● Active
Type 1 · Individual
Dottie Peck, REEGT, CNIM
Peck is 1 of 4 specialist/technologist, other providers in Idaho Falls and 1 of 11 in Idaho.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2013-10-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 11 active specialist/technologist, other providers in Idaho.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
1361 Cambridge Dr
Idaho Falls, ID 834014208
Mailing address
Po Box 3211
Idaho Falls, ID 834033211
Specialties
-
Specialist/Technologist, Other PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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