Robert H Peterson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2001022064 Issued in MO

Practice address

7421 Mexico Rd
Suite 202
Saint Peters, MO 63376-1369

Phone

(636) 970-7902

Fax

(636) 970-3359

NPI assigned

Aug 16, 2006

Sex

Male

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

Enrolled in OR

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

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821101882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WINDSOR VIEW CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416380",
            "telephone_number": "314-432-5544",
            "fax_number": "314-432-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 MEXICO RD",
            "address_2": "SUITE 202",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761369",
            "telephone_number": "636-970-7902",
            "fax_number": "636-970-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2001022064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill E Peper, COTA/L
• Kali Jacklyn Perry, MOT, OTR/L
• Nicole A Peters, PLPC
• Kaitlin Petersen, MOT, OTR/L
• Janelle C Peterson, D.D.S.
• Sheri Lynn Petruso, MSW, LCSW
• Caitlin Amanda Petry, MSN, FNP-C
• Erik Michael Peyton
• Calvin Pham, DPT
• Kathryn Phillippe

• All providers in Saint Peters, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.