Active NPI
Kenneth Steven Peters, D.D.S.
- Dentist
- Highlands Ranch, CO
National Provider Identifier
1780815217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105737
- Practice address
- 200 W County Line Rd
Suite 270
Highlands Ranch, CO 80129-2360 - Phone
- (303) 791-2570
- Fax
- (303) 683-4198
- NPI assigned
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105737 | CO | Primary |
Addresses
Primary practice location
200 W County Line Rd
Suite 270
Highlands Ranch, CO 80129-2360
Mailing address
200 West County Line Rd
Suite 270
Highlands Ranch, CO 80129-2342
Phone (303) 791-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105737 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1780815217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST COUNTY LINE RD",
"address_2": "SUITE 270",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292342",
"telephone_number": "303-791-2570",
"fax_number": "303-683-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W COUNTY LINE RD",
"address_2": "SUITE 270",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292360",
"telephone_number": "303-791-2570",
"fax_number": "303-683-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KENNETH",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "105737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.