Carly M. Peterschmidt, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CARLY M. PETERSCHMIDT, DMD, LLC

Practice address

622 E 22ND Avenue
Suite a
Eugene, OR 97408

Phone

(541) 687-2343

Fax

(541) 505-9258

NPI assigned

Jul 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carly Peterschmidt, DMD

Title

Dentist

Phone

(541) 941-6558

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1003339466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVE STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052989",
            "telephone_number": "541-687-2343",
            "fax_number": "541-505-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVENUE",
            "address_2": "SUITE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-687-2343",
            "fax_number": "541-505-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLY M. PETERSCHMIDT, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "PETERSCHMIDT",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-941-6558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Stephen Carlson, LMT
• Abbey Carlstrom
• David A Carlstrom, D.C.
• Douglas Paul Carlstrom, D.C.
• Tyler Carlton
• Gretchen Carmack
• Brad Carmichael, MS.ED, LPC, NCC
• Laurie C Carmichael, PNP
• Robert Alan Carmichael, DDS PC
• Michael Anthony Carnevale, D.O.

• Dental Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.