Just 4 Me Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

049620 Issued in NY

Legal business name

JUST 4 ME PEDIATRIC DENTISTRY

Doing business as

Marti Peterson DDS

Practice address

1660 Hopkins Rd
Suite 107
Getzville, NY 14068-1061

Phone

(716) 688-7721

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Marti Peterson, DDSNPI 1841350931

Title

Owner

Phone

(716) 688-7721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marti Peterson DDS Doing business as

Locations

Practitioners 1

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

• Marti Peterson, D.D.S.

  • Pediatric Dentistry
  • Getzville, NY
  • NPI 1841350931
  NPD (past) Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1477852556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HOPKINS RD",
            "address_2": "SUITE 107",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681061",
            "telephone_number": "716-688-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HOPKINS RD",
            "address_2": "SUITE 107",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681061",
            "telephone_number": "716-688-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 ME PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-688-7721",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marti Peterson DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel M. Bernstein Prof Corp
• Abigail Johnson
• Yvonne Marie Johnson, TSHH, M.S. ED.
• Maria C Jones, M.ED. C.A.S. NYSLMHC
• Passhun T Jordan
• Myranda Marie Juszkiewicz, M.A., CF-SLP
• Ann Marie Kakavand, CRNA
• Courtney Lee Kamberalis, DPT
• Karisma Karim
• Aidan Kartha

• Pediatric Dentistry in Getzville, NY
• Providers in Getzville, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.