Organization Active NPI

Aric Petersen PLLC

Doing business as Petersen Endodontics

  • Endodontics
  • Scottsdale, AZ
National Provider Identifier
1215619945
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ARIC PETERSEN PLLC
Doing business as
Petersen Endodontics
Practice address
10752 N 89TH PL Ste 117
Scottsdale, AZ 85260-6743
Phone
(314) 780-7802
Fax
(480) 767-8818
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Dr. Aric Petersen, DDSNPI 1437396025
Title
Owner
Phone
(314) 780-7802

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

10752 N 89TH PL Ste 117
Scottsdale, AZ 85260-6743

Mailing address

10752 N 89TH PL Ste 117
Scottsdale, AZ 85260-6743
Phone (314) 780-7802

Other names 1

  • Petersen Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10752 N 89th Pl
Ste 117
Scottsdale, AZ 85260
Phone (314) 780-7802

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1215619945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606743",
            "telephone_number": "314-780-7802",
            "fax_number": "480-767-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606743",
            "telephone_number": "314-780-7802",
            "fax_number": "480-767-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIC PETERSEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-780-7802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petersen Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.