Lauren Kathleen Peterson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9969 Issued in CO

Practice address

10050 W 41St Ave
Suite 101
Wheat Ridge, CO 80033-4157

Phone

(303) 940-0125

Fax

(303) 424-9989

NPI assigned

Jul 7, 2009

Sex

Female

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 CO

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

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459036800000",
    "number": "1952530388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 W 41ST AVE",
            "address_2": "SUITE 101",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334157",
            "telephone_number": "303-940-0125",
            "fax_number": "303-424-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 W 41ST AVE",
            "address_2": "SUITE 101",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334157",
            "telephone_number": "303-940-0125",
            "fax_number": "303-424-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LAUREN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Petersen, LCSW
• Alexia M Peterson
• Ashley Peterson
• Katherine R Peterson, N.D.
• Kirby Peterson
• Rae-Jean Michelle Peterson, RN
• Angela T Petkoff, NP
• Vickie Lynn Petric, PTA
• Melissa Marie Petrovic
• Hanna Francis Pettersen

• General Practice Dentistry in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; 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.