Christine Grace Peterson, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

1956 Issued in ND

Practice address

Standing Rock IHS Hospital
00N10 North River Road
Fort Yates, ND 58538

Phone

(701) 854-8219

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144430679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ASPEN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030204",
            "telephone_number": "701-258-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STANDING ROCK IHS HOSPITAL",
            "address_2": "00N10 NORTH RIVER ROAD",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-854-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "ND",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Paul Nagel, RN
• Patrick James Nagel, LPN
• Christopher Nguyen
• Thuytien Nguyen, PHARM.D.
• Lisa Oswald, RN
• Jade Marie Peterson, RN
• Kennedy Emma Isabelle Pleets
• Sol A Prebus, MD
• Leedawn M Ramsey
• William H Ridley Jr.

• Public Health Dentistry in Fort Yates, ND
• Providers in Fort Yates, ND by specialty
• Public Health Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.