Lesilie A Peterson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

1952 Issued in AZ

Practice address

1905 E McKellips Rd
Mesa, AZ 85203-2865

Phone

(480) 649-1949

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Jka Dental PLLC

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1376009175
  NPD (past)
• Michael J Hyneman DMD PC

  • Dentist
  • Mesa, AZ
  • NPI 1528193810
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457572828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N DANYELL DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258209",
            "telephone_number": "480-649-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032865",
            "telephone_number": "480-649-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LESILIE",
        "middle_name": "A",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Peterson, LIAC
• Eric Peterson
• Kelsey Peterson, LMSW
• Lana J. Peterson, PMHNP
• Laurie Lee Peterson, P.A.
• Lindsey Peterson, RBT
• Robert Peterson, M.D.
• Sheryl L Peterson, CPNP
• Stephen Lynn Peterson II
• Terry K Peterson, CH

• Dental Hygienist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.