Keri A Peterman, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1855221 Issued in MA

Practice address

223 RT 3a
Suite 102
Cohasset, MA 02025

Phone

(781) 383-0003

NPI assigned

Jun 10, 2008

Last updated

Jun 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

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.

• Kristine a Grazioso DMD PC

  dba South Shore Childrens Dentistry

  • Pediatric Dentistry
  • Cohasset, MA
  • NPI 1053402008
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1659531143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROUTE 3A",
            "address_2": "SUITE 102",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-383-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 RT 3A",
            "address_2": "SUITE 102",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-383-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "KERI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855221",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6621-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Margaret O'Duggan
• Christopher Olivieri, DC
• Dina Leigh Oneil, MS CCCSLP
• Jacqueline Ann Owens, PMHNP-B.C, RN, ACM
• Shrina Patel
• John D Pinney, MD
• Roger A. Pompeo, M.D.
• Erin Marie Pongonis, OTR/L
• Cindy S Rambaldo Doody, LMT
• Roger a. Pompeo, MD

• Pediatric Dentistry in Cohasset, MA
• Providers in Cohasset, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.