Organization Active NPI

Scott S Peters DDS Professional Corporation

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1841308947
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33353 Issued in CA
Legal business name
SCOTT S PETERS DDS PROFESSIONAL CORPORATION
Practice address
1925 W Vista Way
Vista, CA 92083-6020
Phone
(559) 226-5000
Fax
(559) 227-4457
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Dr. Scott Stuart Peters, D.D.S.
Title
President
Phone
(559) 226-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 33353 CA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

1925 W Vista Way
Vista, CA 92083-6020

Mailing address

1925 W Vista Way
Vista, CA 92083-6020
Phone (559) 226-5000

National Provider Directory

National Provider Directory

Locations

3796 N Fresno St
Ste 106
Fresno, CA 93726

1925 W Vista Way
Vista, CA 92083
Phone (559) 226-5000

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1841308947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836020",
            "telephone_number": "559-226-5000",
            "fax_number": "559-227-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836020",
            "telephone_number": "559-226-5000",
            "fax_number": "559-227-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT S PETERS DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-226-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33353",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.