Gregory Brian Peters, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46669 Issued in CA

Practice address

6180 Clay St
Riverside, CA 92509-6047

Phone

(951) 685-3355

NPI assigned

Jan 29, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Peters Dental Corporation

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1578028379
  NPD Authorized official
• Peters & Peters DDS

  • Dentist
  • Riverside, CA
  • NPI 1154559813
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1104064179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 CLAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096047",
            "telephone_number": "951-685-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 CLAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096047",
            "telephone_number": "951-685-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "GREGORY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Peterman, BA
• Jason Howard Peterman, RN
• Peters & Peters DDS
• Peters Dental Corporation
• Caroline Chinonye Peters, DNP
• Jonathan Peters
• Naomi Kubo Peters, D.D.S.
• Robert E. Peters, D.D.S.
• Christina Ann Petersen
• Gordon E. Petersen, LMFT

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.