John Frederick Peters, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1654 Issued in AZ

Practice address

301 N Central Ave
Show Low, AZ 85901-4712

Phone

(928) 537-4244

NPI assigned

Aug 30, 2005

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 names 1

• Fred Peters Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477546901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2167",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859022167",
            "telephone_number": "928-537-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CENTRAL AVE",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014712",
            "telephone_number": "928-537-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "1654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "PETERS",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pediatrics in the Pines PC
• Lu Ann Penchuk, FNP
• Timothy R Penniston, FNP-C
• Colvin Perry, P.T.A
• Verlynne Perry, M.S., CCC-SLP
• Ha Phi
• Phoenix Vamc
• Padmaja Polasi, MS, RPH
• Devin Lane Porter, P.A.-C
• Sheridan Lynelle Porter, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.