Marti Peterson, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

049620 Issued in NY

Practice address

1660 Hopkins Rd
Getzville, NY 14068-1061

Phone

(716) 688-7721

Fax

(716) 688-7730

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Just 4 Me Pediatric Dentistry

  dba Marti Peterson DDS

  • Pediatric Dentistry
  • Getzville, NY
  • NPI 1477852556
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1841350931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 EMERALD LN",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329519",
            "telephone_number": "716-688-7721",
            "fax_number": "716-688-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HOPKINS RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681061",
            "telephone_number": "716-688-7721",
            "fax_number": "716-688-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARTI",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partners Medical Group, PLLC
• Kathryn Pasier
• Rebekah Paternostro
• Kara Patricko
• Marina Payne
• Christina Petito, ADVANCED CASAC
• Jessica Piatek, LMSW
• John Pilato, MS
• Markeda Pilgrim
• Stephanie Pinzel

• Pediatric Dentistry in Getzville, NY
• Providers in Getzville, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.