NPIMap

Organization Active NPI

David Peterson, Inc.

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1053585679
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52770 Issued in CA
Legal business name
DAVID PETERSON, INC.
Practice address
4124 Ardmore Ave
Bakersfield, CA 93309-4982
Phone
(661) 834-4111
Fax
(661) 834-0927
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
David Peterson, D.D.S.NPI 1235312224
Title
Owner
Phone
(661) 834-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52770 CA Primary

Addresses

Primary practice location

4124 Ardmore Ave
Bakersfield, CA 93309-4982

Mailing address

4124 Ardmore Ave
Bakersfield, CA 93309-4982
Phone (661) 834-4111

National Provider Directory

National Provider Directory

Locations

4124 Ardmore Ave
Bakersfield, CA 93309
Phone (661) 282-8829

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1053585679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 ARDMORE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094982",
            "telephone_number": "661-834-4111",
            "fax_number": "661-834-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 ARDMORE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094982",
            "telephone_number": "661-834-4111",
            "fax_number": "661-834-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID PETERSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "16618344111",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.