Carrie Beth Peterson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60640 Issued in KS

Practice address

1605 SE 29TH St
Topeka, KS 66605-2601

Phone

(785) 266-9100

NPI assigned

Mar 25, 2009

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 and National Provider Directory roles.

• Rutherford-Peterson Dentistry LLC

  • General Practice Dentistry
  • Topeka, KS
  • NPI 1932358488
  NPD (past)

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1881836609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052601",
            "telephone_number": "785-856-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052601",
            "telephone_number": "785-266-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CARRIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chatley Peters, DPT
• Jamie Renee Peters, REGISTERED NURSE
• Janie Peters
• Gwendolyn Jean Petersen, LSCSW
• Rachelle Dawn Petersen, LCMFT
• Christina Jo Peterson
• Dawn M Peterson, MD
• Jack T Peterson Jr., MD
• Kara N Peterson
• Rachel Brooke Peterson, PT, DPT

• General Practice Dentistry in Topeka, KS
• Providers in Topeka, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.