Dawn M Peterson, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4011 W Benson Rd
Sioux Falls, SD 57107-0104

Phone

(605) 322-1500

Fax

(605) 322-1510

NPI assigned

Feb 2, 2006

Last updated

Aug 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD (past)
• Avera McKennan

  dba Avera Medical Group McGreevy West Benson Road

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1457648149
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1194797423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86340",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186340",
            "telephone_number": "605-322-4900",
            "fax_number": "605-322-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W BENSON RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571070104",
            "telephone_number": "605-322-1500",
            "fax_number": "605-322-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000763",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anders Peterson
• April Lee Peterson
• Bonnie Kaye Peterson, CNP
• Cameron Peterson
• Cory Peterson, DDS
• Erik Peterson
• Howard Christian Peterson, DDS
• Jacob Peterson, MD
• Jodi Peterson, CNP
• Justine Peterson, PA-C

• Medical Physician Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Medical Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.