Paul Peterson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

4314 45TH St N
Fargo, ND 58102-6915

Phone

(701) 850-9229

NPI assigned

Jan 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1134769979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 45TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581026915",
            "telephone_number": "701-850-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 45TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581026915",
            "telephone_number": "701-850-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468840",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian K Peterson
• Mason Andrew Peterson
• Melody R Peterson, LAC
• Michael Dean Peterson, D.D.S., M.S.
• Nancy Peterson, LPN
• Rachael Peterson
• Rodney W Peterson, DOCTOR OF CHIROPRACT
• Samantha Peterson, LPN
• Sherrie Peterson, RN-BC
• Stephanie Peterson, M.S.

• Non-emergency Medical Transport (VAN) in Fargo, ND
• Providers in Fargo, ND by specialty
• Non-emergency Medical Transport (VAN) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.