Jeromy a Peterson DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEROMY A PETERSON DDS

Practice address

19301 8TH Ave NE Ste a
Poulsbo, WA 98370-6200

Phone

(360) 779-3958

Fax

(360) 779-3033

NPI assigned

Jan 8, 2026

Organization subpart

No

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

Authorized official

Name

Jeromy Peterson

Title

Owner

Phone

(360) 779-3958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1841157922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 8TH AVE NE STE A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706200",
            "telephone_number": "360-779-3958",
            "fax_number": "360-779-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 8TH AVE NE STE A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706200",
            "telephone_number": "360-779-3958",
            "fax_number": "360-779-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROMY A PETERSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-3958"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Jarin
• Jessica Elizabeth Jarrett, DPT
• Samantha Jenkins, LMP
• Suzanne Jenny, LMP
• Kali Ann Jensen, MA, LMHC
• Jashper Jingco
• Jennifer Ann Johnson, LMP
• Julie Anna Nawrot Johnson, LMP
• Matthew K Johnson, MD
• Katherine Jones, LMP

• General Practice Dentistry in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.