Peter J Zehren, DR.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10527 Issued in MN

Practice address

702 Mankato Ave
Winona, MN 55987-6570

Phone

(507) 457-3333

Fax

(507) 457-9485

NPI assigned

Sep 17, 2008

Last updated

Oct 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter J. Zehren D.D.S.,S.C.

  • General Practice Dentistry
  • Winona, MN
  • NPI 1629167739
  NPD (past) Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1548419229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876570",
            "telephone_number": "507-457-3333",
            "fax_number": "507-457-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876570",
            "telephone_number": "507-457-3333",
            "fax_number": "507-457-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHREN",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4961242-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "411948000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "10527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian B Young, MD
• Ndea Shunyai Young
• Zachary Zaboj
• James Zaborowski, R.PH.
• Hailey Quinn Zak
• Brian L Zeller, PHD, ATC
• Jenna Zeller
• Zacary Michael Zittel
• Zudac Enterprises (Beltone Hearing Care)
• Melanie Zuniga

• General Practice Dentistry in Winona, MN
• Providers in Winona, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.