Victoria Lynn Peterson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16897 Issued in MA

Practice address

61 Main St
Ashburnham, MA 01430

Phone

(978) 827-3115

Fax

(978) 827-3116

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashburnham Dental Arts, P.C

  • Dentist
  • Ashburnham, MA
  • NPI 1871888495
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881704294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "address_2": "61 MAIN ST",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "01430",
            "telephone_number": "978-827-3115",
            "fax_number": "978-827-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "01430",
            "telephone_number": "978-827-3115",
            "fax_number": "978-827-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol E. Paige, LICSW
• Elizabeth Ann Paris, RN
• Alicia Patterson, LMHC
• Aisling Perry, CLC
• Chelsea Peters
• Nichole Pinkham
• Makayla Marie Porter, PA-C
• Emilia Rainwalker, L.I.C.S.W.
• Christina Rosa, LMHC
• Shawna M Samson, LPN

• General Practice Dentistry in Ashburnham, MA
• Providers in Ashburnham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.