NPIMap

Organization Active NPI

Peters Orthodontic Specialists

Doing business as Dr. Nicole Peters Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oakdale, MN
National Provider Identifier
1598967382
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D11028 Issued in MN
Legal business name
PETERS ORTHODONTIC SPECIALISTS
Doing business as
Dr. Nicole Peters Orthodontics
Practice address
1099 Helmo Ave N Ste 200
Oakdale, MN 55128-6037
Phone
(651) 578-8401
Fax
(651) 731-6836
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Sally Nicole Peters, D.D.S., M.S.NPI 1760684559
Title
Orthodontist
Phone
(651) 578-8401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D11028 MN Primary

Addresses

Primary practice location

1099 Helmo Ave N Ste 200
Oakdale, MN 55128-6037

Mailing address

1099 Helmo Ave N Ste 200
Oakdale, MN 55128-6037
Phone (651) 578-8401

Other names 1

  • Dr. Nicole Peters Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1099 Helmo Ave N
Ste 200
Oakdale, MN 55128
Phone (651) 578-8401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1598967382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 200",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286037",
            "telephone_number": "651-578-8401",
            "fax_number": "651-731-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 200",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286037",
            "telephone_number": "651-578-8401",
            "fax_number": "651-731-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "651-578-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Nicole Peters Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.