Vanessa Peterson, DDS, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

VANESSA PETERSON, DDS, MS, PC

Practice address

10165 Foothill Blvd Ste 2
Rancho Cucamonga, CA 91730-0341

Phone

(909) 774-0107

Fax

(909) 774-0107

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Vanessa Peterson, DDS, MSNPI 1912348145

Title

Owner/Orthodontist

Phone

(909) 774-0107

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Vanessa Noel Browne Peterson, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1912348145
  NPD Authorized official
• Eric Shall-Kit Wong, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1225726276
  NPD
• Melissa Michelle Khoury, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1306458583
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1912538810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD STE 2",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300341",
            "telephone_number": "909-774-0107",
            "fax_number": "909-774-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD STE 2",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300341",
            "telephone_number": "909-774-0107",
            "fax_number": "909-774-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA PETERSON, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "909-774-0107",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Alexandria Valmore, MSW
• Ilyanna Van Essen
• Kimberly Anne Van Genderen
• Addison Breann Vandegrift
• Jessica Nicole Vanderkallen, P.A-C
• Christopher J Vansuch, O.D.
• Vanura Homehealth Services, Inc.
• Vivica Victorio Vaquilar
• Vanessa Mary Vardayou, FNP
• Angelica Varela

• Orthodontics and Dentofacial Orthopedics Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• 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.

Verify at the official NPI Registry.