Robert K. Peterson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT K. PETERSON DDS PA

Practice address

7300 France Ave S
#110
Edina, MN 55435-4525

Phone

(952) 831-0414

Fax

(952) 831-1116

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert K. Peterson, DDSNPI 1669535852

Title

Owner

Phone

(952) 831-0414

Specialties & licenses 1

Addresses

Practitioners 2

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

• Robert K Peterson, DDS

  • Dentist
  • Edina, MN
  • NPI 1669535852
  NPD (past) Authorized official
• Geeta Ramesh Sukhani, DDS

  • General Practice Dentistry
  • Edina, MN
  • NPI 1558525204
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1033392014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "#110",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-831-0414",
            "fax_number": "952-831-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "#110",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-831-0414",
            "fax_number": "952-831-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K. PETERSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-831-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ripple Effect Mental Health LLC
• Donald Allen Ristad, MD
• Milan Ristic, DO
• Thomas Arthur Rivers, M.D.
• Steven Paul Robak, CPNP
• Jade Renae Roberts, COTA
• Heidi Robertson, M.D.
• NA Robideau, L.AC.
• Jordan Robinson, PH.D.
• Ubah Mohamed Roble

• General Practice Dentistry in Edina, MN
• Providers in Edina, 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 Dec 12, 2007; 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.