Peter C. Knudson DDS, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PETER C. KNUDSON DDS, MS, PC

Practice address

105 Skyline Dr
Brigham City, UT 84302-3108

Phone

(435) 723-6366

Fax

(435) 723-6371

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Peter C Knudson, DDS, MS, PC

Title

Owner

Phone

(435) 723-6366

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Steven T Blanchard, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brigham City, UT
  • NPI 1083698260
  NPD (past)

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1326335092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SKYLINE DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023108",
            "telephone_number": "435-723-6366",
            "fax_number": "435-723-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SKYLINE DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023108",
            "telephone_number": "435-723-6366",
            "fax_number": "435-723-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. KNUDSON DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-723-6366",
        "authorized_official_credential": "DDS, MS, PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529449844016",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peak Medical Utah No. 2, Inc.
• Adam T Peck
• Tina Peck, LCSW
• Verlicia Annette Perez
• Perry Family Medicine LLC
• Brady Paul Petersen
• Chelsea Petersen
• Rebecca Petersen, PHARM D
• Amber Dawn Peterson, FNP-C
• Christy Peterson

• Orthodontics and Dentofacial Orthopedics Dentistry in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.