Active NPI
Dakota Zoey Peterson, MD
- Pediatrics Physician
- New Castle, PA
National Provider Identifier
1316513773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD485418
- Practice address
- 2540 New Butler Rd Ste 200
New Castle, PA 16101-3231 - Phone
- (724) 654-2776
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD485418 | PA | Primary |
Addresses
Primary practice location
2540 New Butler Rd Ste 200
New Castle, PA 16101-3231
Mailing address
2540 New Butler Rd Ste 200
New Castle, PA 16101-3231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD485418 | Medicaid | PA |
Other names 1
- Dr. Dakota Zoey Buhrman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929000175 | PA | Order and Referring Only - Pediatric Medicine | 2264839596 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD485418 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Community Care | Pediatrics | Current | Accepting new patients |
| Childrens Community Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
2540 New Butler Rd
Ste 200
New Castle, PA 16101
Phone (724) 654-2776
Interoperability endpoints
- dakota.z.peterson@upmcdirect.com
Organizations & group practices 2
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.
-
dba Children's Community Pediatrics
- Pediatrics Physician
- New Castle, PA
- NPI 1184176539
-
- Pediatrics Physician
- Monroeville, PA
- NPI 1740244110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1316513773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 NEW BUTLER RD STE 200",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161013231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 NEW BUTLER RD STE 200",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161013231",
"telephone_number": "724-654-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DAKOTA",
"middle_name": "ZOEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD485418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD485418",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAKOTA",
"last_name": "BUHRMAN",
"middle_name": "ZOEY",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Castle, PA
- Maria Lynn Perrotta, PHD
- Eric Lee Perry, RPH
- Personal Touch Home Aides of PA, Inc
- Personal Touch Home Care of PA, Inc
- Tracy Cwynar Peters, MOTR/L
- Karen Sue Peterson, RD LDN CDE
- Debra Pezzuti
- Philip J. Schaville, O.D., P.C.
- Cynthia Anderson Phillips, OTRL
- Phoenix Rehabilitation and Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.