Jerome N. Peterson D.D.S. Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

23551 Issued in CA

Legal business name

JEROME N. PETERSON D.D.S. INC.

Practice address

3620 S Bristol St
#302
Santa Ana, CA 92704-7300

Phone

(714) 557-7744

Fax

(714) 557-1881

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Norman Peterson, D.D.S.

Title

Dentist

Phone

(714) 557-7744

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jimmy Binh-Phi Tran, DMD

  • Dentist
  • Tustin, CA
  • NPI 1043403686
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1437324555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 SOUTH BRISTOL ST",
            "address_2": "#302",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927049262",
            "telephone_number": "714-557-7744",
            "fax_number": "714-557-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST",
            "address_2": "#302",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047300",
            "telephone_number": "714-557-7744",
            "fax_number": "714-557-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME N. PETERSON D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-557-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Jensen
• Jaeyeon Jeon, DDS
• Kathryn Jepsen
• Melanie Ann Navarro Jequinto, D.D.S.
• Jeremy E Kaslow, MD Inc
• Jeromy Asido NP Psychiatric Nursing Services Inc
• Jerrold Cantor, MD, Inc
• Jerrold D Cantor MD Inc
• Jerry L Kronquist Sunset Dental Group Inc
• Kevin Jerry, RN

• Point of Service in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.