NPIMap

Organization Active NPI

Warren a Peterson, D.O.

  • Dermatology Physician
  • Orem, UT
National Provider Identifier
1831338029
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1790771204 Issued in UT
Legal business name
WARREN A PETERSON, D.O.
Practice address
1385 E 750 N
Orem, UT 84097-5480
Phone
(801) 224-5200
Fax
(801) 224-2667
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Warren A PetersonNPI 1134198807
Title
Doctor/Owner
Phone
(801) 224-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 1790771204 UT Primary

Addresses

Primary practice location

1385 E 750 N
Orem, UT 84097-5480

Mailing address

1385 E 750 N
Orem, UT 84097-5480
Phone (801) 224-5200

National Provider Directory

National Provider Directory

Locations

1385 E 750 N
Orem, UT 84097
Phone (801) 224-5200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1831338029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975480",
            "telephone_number": "801-224-5200",
            "fax_number": "801-224-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975480",
            "telephone_number": "801-224-5200",
            "fax_number": "801-224-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN A PETERSON, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "801-224-5200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "UT",
            "license": "1790771204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

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

Verify at the official NPI Registry.