Organization Active NPI

Natalie Peterson DDS Family Dentistry LLC

  • Dental Clinic/Center
  • Duluth, MN
National Provider Identifier
1437320512
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5600-015 Issued in WI
Legal business name
NATALIE PETERSON DDS FAMILY DENTISTRY LLC
Practice address
110 W 10TH St
Duluth, MN 55806-2536
Phone
(262) 271-8803
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Natalie Ann Peterson, D. D. S.
Title
Owner
Phone
(262) 271-8803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5600-015 WI Primary

Addresses

Primary practice location

110 W 10TH St
Duluth, MN 55806-2536

Mailing address

110 W 10TH St
Duluth, MN 55806-2536
Phone (262) 271-8803

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1437320512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 10TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062536",
            "telephone_number": "262-271-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 10TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062536",
            "telephone_number": "262-271-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE PETERSON DDS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-271-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5600-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.