Debra Peterson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100607 Issued in CA

Practice address

800 S Meadows Pkwy
Reno, NV 89521-3863

Phone

(775) 851-4646

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Peterson Dental Group, PC

  dba Gentle Dental Reno South

  • Dentist
  • Reno, NV
  • NPI 1821200015
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790231231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14759 PINE KNOLLS LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216319",
            "telephone_number": "925-270-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MEADOWS PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213863",
            "telephone_number": "775-851-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DEBRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2025-09-11",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marrie Peterson
• Brandon Robert Peterson, MD
• Chelsea Cathleen Peterson, AU.D.
• Christina Elizabeth Peterson, RN
• Ciara Peterson
• Jamie Lyn Peterson
• Katherine Peterson
• Lynda Jo Peterson
• Parker Peterson
• Rachel Renee Peterson, MFT

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.