Active NPI
Scott B. Peters, D.D.S., M.S.
- Dentist
- Mankato, MN
National Provider Identifier
1851334775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10042
- Practice address
- 1570 Adams St
Mankato, MN 56001-5192 - Phone
- (507) 386-0288
- Fax
- (507) 386-0438
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10042 | MN | Primary |
| Endodontics | 1223E0200X | D10042 | MN |
Addresses
Primary practice location
1570 Adams St
Mankato, MN 56001-5192
Mailing address
1570 Adams St
Mankato, MN 56001-5192
Phone (507) 386-0288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851334775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 ADAMS ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015192",
"telephone_number": "507-386-0288",
"fax_number": "507-386-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 ADAMS ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015192",
"telephone_number": "507-386-0288",
"fax_number": "507-386-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "SCOTT",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D10042",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MN",
"license": "D10042",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.