Thomas James Peters, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2429 Issued in ND

Practice address

188 Osborn Dr
Dickinson, ND 58601-3960

Phone

(701) 483-8113

NPI assigned

Mar 8, 2021

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hometown Dental, PLLC

  • Dental Clinic/Center
  • Dickinson, ND
  • NPI 1518628130
  NPD Authorized official
• Krieg Family Dental

  • Dentist
  • Dickinson, ND
  • NPI 1326452335
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1437744836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 OSBORN DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013960",
            "telephone_number": "701-483-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 OSBORN DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013960",
            "telephone_number": "701-483-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI DENTAL CLAIMS (BCBS)",
            "identifier": "4572184",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483355",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesenia Perez, M.A. CCC-SLP
• Jessica Lynn Perry
• Janiece Pessoa
• Peters Chiropractic, P.C.
• Haylee Peters, OTR/L
• Timothy J Peters, D.C.
• Braydon D Peterson, CF, SLP
• Brody William Peterson
• Gary D Peterson, MD
• Kami L Peterson, BSN, RN, FNP-C

• Dentist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.