Peter Clay Bachmeier, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14667 Issued in MN

Practice address

2600 39TH Ave NE Ste 225
Minneapolis, MN 55421-5052

Phone

(763) 781-7475

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• PDG, P.a.

  dba Park Dental

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1023309549
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1831851047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5891 RICE CREEK PKWY UNIT 125",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 39TH AVE NE STE 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554215052",
            "telephone_number": "763-781-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMEIER",
        "first_name": "PETER",
        "middle_name": "CLAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2444",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2444",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronika Bachanova, MD
• Robert James Bache, M.D.
• Inayat Bachelani
• Nora E Bacher, LICSW
• Chloe M Bachman
• Elizabeth Bachorik, NP
• Fouad Bachour, MD
• Catherine Dory Bachur, MD, MA
• Back on Track, PLLC
• Back to Basics Chiropractic & Wellness LLC

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.