Shon J Peterson, DMD, Ms

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8741 Issued in CO

Legal business name

SHON J PETERSON, DMD, MS

Practice address

11265 Decatur St Ste 400
Westminster, CO 80234-4793

Phone

(303) 452-4656

Fax

(303) 254-6994

NPI assigned

Feb 9, 2012

Last updated

Apr 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shon Peterson, DMDNPI 1831292929

Title

Owner/Orthodontist

Phone

(303) 452-4656

Specialties & licenses 1

Addresses

Locations

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.

• Shon J Peterson, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CO
  • NPI 1831292929
  NPD (past) Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1699048439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11265 DECATUR ST STE 400",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802344793",
            "telephone_number": "303-452-4656",
            "fax_number": "303-254-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11265 DECATUR ST STE 400",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802344793",
            "telephone_number": "303-452-4656",
            "fax_number": "303-254-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHON J PETERSON, DMD, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHON",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "303-452-4656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Shin
• Taj Mohammad Shinwary
• Carrie Marie Shoemaker, C.M.T.
• Meghan Shoemaker
• Kamryn Sholly, DC
• Jacky J Shook, RN
• Cameron Shropshire, BS, CAC I
• Christina Renee Shulman, MSW, LCSW
• Steven James Siano, MD
• Jacqueline Elise Sibley, MS, RD

• Orthodontics and Dentofacial Orthopedics Dentistry in Westminster, CO
• Providers in Westminster, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.