Peter B. Iversen Jr., DDS, PLLC.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PETER B. IVERSEN JR., DDS, PLLC.

Practice address

4700 42ND Ave SW Ste 555
Seattle, WA 98116-4583

Phone

(206) 935-5522

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Peter B. Iversen, DDSNPI 1386935567

Title

Owner

Phone

(206) 403-8651

Specialties & licenses 1

Addresses

Other names 1

• Junction Dental Doing business as

Locations

Practitioners 2

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

• Peter B Iversen Jr., D.D.S.

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1386935567
  NPD Authorized official
• Kari Dianne Chellis, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1295755957
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1093376576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW STE 555",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW STE 555",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164583",
            "telephone_number": "206-935-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B. IVERSEN JR., DDS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "IVERSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-403-8651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Junction Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Junction Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pet-CT Imaging at Swedish Cancer Institute LLC
• Holly Petaja, PH.D.
• Susan M Petcoff, D.O
• Amy Michelle Petek, MA, CCC-SLP
• Mary Petelo, MHS
• Peter Jenkin MD PLLC
• Peter Shalit, M.D.
• Joel Stephen Peterman, PHD
• Brian Petermeyer, LMHCA
• Karen Petermeyer, RDN, CD

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.