Peterson Dental

Primary specialty

DentistTaxonomy code 122300000X

License

5608 Issued in WA

Legal business name

PETERSON DENTAL

Practice address

1604 W Riverside Ave
Spokane, WA 99201-1206

Phone

(509) 747-2183

Fax

(509) 747-3990

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Peterson, DDSNPI 1386759934

Title

Owner

Phone

(509) 747-2183

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kurt Edward Peterson, DDS

  • Dentist
  • Spokane, WA
  • NPI 1386759934
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1841746476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 W RIVERSIDE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011206",
            "telephone_number": "509-747-2183",
            "fax_number": "509-747-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W RIVERSIDE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011206",
            "telephone_number": "509-747-2183",
            "fax_number": "509-747-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-747-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Petersen, D.D.S.
• Don R. Petersen, O.D.
• Kerri Petersen, ARNP
• Megan Petersen, ARNP
• William Marc Petersen, D.D.S, P.C.
• Peterson Plastic Surgery, Inc
• Alexandra Rae Peterson
• Altari Sunra Peterson, LMP
• Amanda Peterson, RN
• Ansley Autumn Peterson, MSW

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.