Barrett W R Peters, DDS MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401413204 Issued in VA

Practice address

240 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8130

Phone

(434) 973-4344

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

No

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

Practice roles

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

• Piedmont Pediatric Dentistry PLC

  • Dental Clinic/Center
  • Charlottesville, VA
  • NPI 1497187769
  NPD (past) Authorized official
• Piedmont Pediatric Dentistry PLC

  • Dental Clinic/Center
  • Waynesboro, VA
  • NPI 1740613611
  NPD (past) Authorized official

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1265711329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130",
            "telephone_number": "434-973-4344",
            "fax_number": "434-973-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130",
            "telephone_number": "434-973-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BARRETT",
        "middle_name": "W R",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Perry
• Matthew B. Persinger, PA
• Frances Marie Perucci-Bailey
• Venkat Perumal, M.D.
• Arthur Jacob Pesch III
• Elizabeth Peters, FNP-C
• Melissa Peters, LCSW, ACSW
• William Carl Petersen Jr., M.D.
• Alec Peterson, MD
• Brian Peterson, MD

• Pediatric Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.