Organization Active NPI

Peter DO Dental Corporation

  • Dentist
  • San Diego, CA
National Provider Identifier
1447166269
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PETER DO DENTAL CORPORATION
Practice address
11645 Duenda Rd
San Diego, CA 92127-1110
Phone
(858) 487-8177
Fax
(858) 487-8183
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Dr. Peter DO, DDS
Title
President
Phone
(760) 216-0433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11645 Duenda Rd
San Diego, CA 92127-1110

Mailing address

11645 Duenda Rd
San Diego, CA 92127-1110
Phone (858) 487-8177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1447166269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 DUENDA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271110",
            "telephone_number": "858-487-8177",
            "fax_number": "858-487-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 DUENDA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271110",
            "telephone_number": "858-487-8177",
            "fax_number": "858-487-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-216-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.