NPIMap

Organization Active NPI

W.J.Peterson DDS, PC

  • Dentist
  • Valentine, NE
National Provider Identifier
1659516672
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4869 Issued in NE
Legal business name
W.J.PETERSON DDS, PC
Practice address
275 N Main St
Valentine, NE 69201-1840
Phone
(402) 376-1942
Fax
(402) 376-1835
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. William J Peterson, DDS
Title
President
Phone
(402) 376-1942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4869 NE Primary

Addresses

Primary practice location

275 N Main St
Valentine, NE 69201-1840

Mailing address

PO Box 378
Valentine, NE 69201-0378
Phone (402) 376-1942

Other names 1

  • Professional Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1659516672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692010378",
            "telephone_number": "402-376-1942",
            "fax_number": "402-376-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N MAIN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011840",
            "telephone_number": "402-376-1942",
            "fax_number": "402-376-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.J.PETERSON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-376-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valentine, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.