NPIMap

Organization Active NPI

Tyr R. Peterson, D.D.S., P.C.

  • Dental Clinic/Center
  • Arvada, CO
National Provider Identifier
1194914218
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7993 Issued in CO
Legal business name
TYR R. PETERSON, D.D.S., P.C.
Practice address
5400 Ward Road
Building II, Suite 100
Arvada, CO 80002-1819
Phone
(303) 424-6483
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Tyr R. Peterson, D.D.S.NPI 1447223144
Title
President
Phone
(303) 424-6483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7993 CO Primary

Addresses

Primary practice location

5400 Ward Road
Building II, Suite 100
Arvada, CO 80002-1819

Mailing address

5400 Ward Road
Building II, Suite 100
Arvada, CO 80002-1819
Phone (303) 424-6483

National Provider Directory

National Provider Directory

Locations

5400 Ward Rd
Bldg Ii
Arvada, CO 80002
Phone (303) 424-6483

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1194914218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 WARD ROAD",
            "address_2": "BUILDING II, SUITE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021819",
            "telephone_number": "303-424-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 WARD ROAD",
            "address_2": "BUILDING II, SUITE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021819",
            "telephone_number": "303-424-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYR R. PETERSON, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TYR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-424-6483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.