Ronald M. Peterson, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1578 Issued in ND

Legal business name

RONALD M. PETERSON, DDS, PC

Practice address

3226 13TH Ave S
Fargo, ND 58103-3403

Phone

(701) 232-3379

Fax

(701) 298-0879

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Ronald Mark Peterson, DDS

Title

President

Phone

(701) 232-3379

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Carrie N Peterson, D.D.S.

  • General Practice Dentistry
  • Fargo, ND
  • NPI 1538164165
  NPD (past)
• Nathan Aaron Zaffke, D.D.S.

  • Dentist
  • Fargo, ND
  • NPI 1205194933
  NPD (past)
• Marie Ann Moeckel, D.D.S.

  • Dentist
  • San Diego, CA
  • NPI 1699949545

  General Practice

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265654016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033403",
            "telephone_number": "701-232-3379",
            "fax_number": "701-298-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033403",
            "telephone_number": "701-232-3379",
            "fax_number": "701-298-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M. PETERSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-232-3379",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40258",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SERVICE CORPORATIO",
            "identifier": "901578",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Marie Rolling, D.O.
• Joel S Romance, MD
• Melissa Romans
• Claire Romo
• Romona Health Care & Transportation LLC
• Jeffrey Allen Rondeau, MD
• Ronin Counseling
• Jamie Ronning
• Krysta Ronning
• Lisa Marie Ronning

• General Practice Dentistry in Fargo, ND
• Providers in Fargo, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.