Peterson Dentistry DDS Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

57102 Issued in CA

Legal business name

PETERSON DENTISTRY DDS INC

Practice address

503 E Imperial Hwy
Brea, CA 92821-5544

Phone

(714) 672-9000

Fax

(714) 672-9086

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Peterson, DDS

Title

Owner

Phone

(714) 672-9000

Specialties & licenses 1

Addresses

Practitioners 1

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

• John C Whitworth, DDS

  • General Practice Dentistry
  • Brea, CA
  • NPI 1396759320
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1639661341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215544",
            "telephone_number": "714-672-9000",
            "fax_number": "714-672-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215544",
            "telephone_number": "714-672-9000",
            "fax_number": "714-672-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON DENTISTRY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-672-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "57102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Perruzzi
• Andrew Edward Perry, PA-C
• Roxie Robin Persi, PSY.D.
• Personal Care Physical Therapy, Inc
• Peter Yi Chiropractic Inc
• Gregory Peterson, D.D.S.
• David H Pham, DDS
• Heather Pham
• Renee Pham, NP
• Trang Doan-Minh Phan, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Brea, CA
• Providers in Brea, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.