Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Richard Peyton

Individual provider Dentist · NPI 1154053445

Dr. Jonathan Richard Peyton is a Dentist in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2022
Specialties on file
3

Practice location Partly verified

Some contact details are missing from the federal record.

Cmc Dental Clinic 1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2165
Fax: (704) 355-8856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral Medicine Dentistry (primary) Taxonomy 125Q00000X · Licence 0295 (NC)
Dentist Taxonomy 122300000X · Licence 0295 (NC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 0295 (NC)

Record details

NPI number1154053445
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlotte