Peterson, Krische, Van Horn, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETERSON, KRISCHE, VAN HORN, DDS, LLC

Practice address

2210 Yale Rd
Lawrence, KS 66049-2647

Phone

(785) 842-0705

Fax

(785) 865-2324

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kent T Peterson, DDS

Title

Managing Partner

Phone

(785) 842-0705

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1417945544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 YALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492647",
            "telephone_number": "785-842-0705",
            "fax_number": "785-865-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 YALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492647",
            "telephone_number": "785-842-0705",
            "fax_number": "785-865-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON, KRISCHE, VAN HORN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "785-842-0705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "420744",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personalized Solutions LLC
• Meaghan Peters, RBT
• Cody Peterson, DPT
• Jessica Lynn Peterson, D.C.
• Kent T Peterson, DDS
• Pete Peterson, PHD
• Zineta Petrovic, LMSW
• Abigail Dawn Petrulis, PHARMD
• Grace Petz
• Ciara Peuster

• General Practice Dentistry in Lawrence, KS
• Providers in Lawrence, KS by specialty
• General Practice Dentistry in Kansas

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