Peterson & Peterson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETERSON & PETERSON DDS PA

Practice address

1224 Arcade St
Saint Paul, MN 55106-2021

Phone

(651) 774-2959

Fax

(651) 774-1997

NPI assigned

Jan 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vacharee Sriswad PetersonNPI 1184694408

Title

President

Phone

(651) 774-2959

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vacharee Sriswad Peterson

  • Dentist
  • Saint Paul, MN
  • NPI 1184694408
  NPD (past) Authorized official
• Aram Mazhary, DDS

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1780655753
  NPD (past)
• Doan Trang Nguyen, DMD

  • Dentist
  • Roseville, MN
  • NPI 1720059710
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013988765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062021",
            "telephone_number": "651-774-2959",
            "fax_number": "651-774-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062021",
            "telephone_number": "651-774-2959",
            "fax_number": "651-774-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON & PETERSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "VACHAREE",
        "authorized_official_middle_name": "SRISWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-774-2959",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Petersen, D.C.
• Karl John Petersen, DDS
• Katherine A Petersen, C.N.P.
• Linda Louise Petersen, RN, BSN
• Mitchell Petersen
• Peterson Dental PA
• Abigail Ellen Peterson, M.D.
• Amanda Flowers Peterson
• Amanda Vancene Peterson, AGACNP
• Barbara Jean Peterson, N.P.

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.