Individual provider Active NPI

Rima H Peters, D.M.D.

  • Dentist
  • Tempe, AZ
National Provider Identifier
1992704647
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6169 Issued in AZ
Practice address
8675 S Priest Dr
Ste.101
Tempe, AZ 85284-1914
Phone
(480) 961-0600
Fax
(480) 452-0348
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6169 AZ Primary

Addresses

Primary practice location

8675 S Priest Dr
Ste.101
Tempe, AZ 85284-1914

Mailing address

8675 S Priest Dr
Ste 101
Tempe, AZ 85284-1914
Phone (480) 961-0600

Other identifiers 1

IdentifierTypeStateIssuer
AZ6169OtherAZDENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215000806 AZ Order and Referring Only - Other (Non-Physician) 4486958287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6169AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Rose Family Dentistry LLC General Practice Current Accepting new patients

Locations

8675 S Priest Dr
Ste 101
Tempe, AZ 85284
Phone (480) 208-7436

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1992704647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DR",
            "address_2": "STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841914",
            "telephone_number": "480-961-0600",
            "fax_number": "480-452-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DR",
            "address_2": "STE.101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841914",
            "telephone_number": "480-961-0600",
            "fax_number": "480-452-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RIMA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "AZ6169",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.