Eric M Peters, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6870 Issued in WI

Practice address

75 Sherry Ave
Park Falls, WI 54552-1468

Phone

(715) 762-0200

NPI assigned

May 23, 2012

Last updated

May 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• Family Health Center of Marshfield Inc

  dba Family Health Center - Park Falls Dental Center

  • Federally Qualified Health Center (FQHC)
  • Park Falls, WI
  • NPI 1063104297
  NPD (past)
• Family Health Center of Marshfield Inc

  dba Family Health Center - Wisconsin Rapids Alcohol & Drug Recovery Center

  • Federally Qualified Health Center (FQHC)
  • Wisconsin Rapids, WI
  • NPI 1679447569
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1023378171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SHERRY AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521468",
            "telephone_number": "715-762-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Pharmacy Inc (North Central IV)
• Park Pharmacy Inc
• Amy Pearson, MA, PT, CWS
• Mark Steven Pechacek, RPH
• Tennille H. Penn, D.D.S.
• Thomas B. Prebble, MD
• Peggy Ann Prohaska, RPH
• Cassy Susan Pydo, PA-C
• Jeffrey M Quednow, PT, DPT
• Linda L Rashel Daubner

• General Practice Dentistry in Park Falls, WI
• Providers in Park Falls, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.