Bryan Petersen, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: December 4, 2006

Quick Facts

NPI Number
1205994373
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(208) 983-1651
StateID

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1205994373)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (December 4, 2006)
Data source: CMS NPPES

Provider Overview

BRYAN PETERSEN, D.D.S is a Dentistry provider based in Grangeville, ID who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205994373
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateDecember 4, 2006

Practice Location

CityGrangeville
StateID
ZIP Code83530-1211
Phone(208) 983-1651

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateID

Mailing Address

CityGrangeville
StateID
ZIP Code83530-1211
Phone(208) 983-1651
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1205994373 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1205994373for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1205994373 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
125,053
Dentistry Providers in the US

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People Also Ask

What is Bryan Petersen's NPI number?
Bryan Petersen's NPI number is 1205994373, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bryan Petersen's NPI currently active?
Yes, Bryan Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Bryan Petersen specialize in?
Bryan Petersen specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Bryan Petersen practice?
Bryan Petersen practices in Grangeville, ID 83530-1211.
When was Bryan Petersen's NPI issued?
Bryan Petersen's NPI was issued on December 4, 2006.
What is Bryan Petersen's provider type?
Bryan Petersen is registered as an Individual Provider under CMS NPI Type 1.