Dena Petersen, M.D. P.C

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

DENA PETERSEN, M.D. P.C

Practice address

4574 N 1St Ave Ste 180
Tucson, AZ 85718-5699

Phone

(520) 293-1415

Fax

(520) 293-1434

NPI assigned

Nov 19, 2008

Last updated

Dec 2, 2008By 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

Mrs. Dena E Petersen, M.D.NPI 1134154768

Title

Owner

Phone

(520) 293-1415

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, and the practitioner matching its NPPES authorized official.

• Dena E Petersen, MD

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1134154768
  Authorized official Same address or phone

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1750536611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 N 1ST AVE STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185699",
            "telephone_number": "520-293-1415",
            "fax_number": "520-293-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 N 1ST AVE STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185699",
            "telephone_number": "520-293-1415",
            "fax_number": "520-293-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENA PETERSEN, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-293-1415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Demoss, DO
• Lynnette Eileen Demosthenes, FAMILY MEDICINENP-BC
• Melinda Maria Dempsey
• John Dempster Jr., M.D.
• Shale Lynn Demuth, OD
• Antony Denard Jr., M.D.
• Stephen Allen Denbrock, DDS
• Gisele Denepitiya, MD
• Cathy Wu Deng
• Joanna S Deng, PHARMD

• Exclusive Provider Organization in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.