Tyler Peterschmidt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10097 Issued in OR

Practice address

4120 Quest Dr
Eugene, OR 97402-8768

Phone

(541) 688-7278

Fax

(541) 334-6604

NPI assigned

Jul 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dr. Henry Quest D.M.D. PC

  dba Quest Dental Group

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1740320464
  NPD (past)
• Lassen Dental LLC

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1285197830
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1871901371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BOBOLINK AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041512",
            "telephone_number": "541-905-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 QUEST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028768",
            "telephone_number": "541-688-7278",
            "fax_number": "541-334-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSCHMIDT",
        "first_name": "TYLER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter a. Powers, PH.D., LLC
• Peter C. Snyder, D.D.S., P.C.
• Evan Peters, PT
• Melissa Lynn Peters
• Sarah Peters
• Dana Michelle Petersen, B.S.W.,Q.M.H.A.
• Darcy Daniell Petersen
• Laura Mae Petersen, LPN
• Mario Cesar Petersen, MD
• Marna Petersen, MAPC, LPC

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.