Jeffrey Petersen, DMD

NPI: 1669454211

Jeffrey Petersen, DMD

Q: What is Jeffrey Petersen's NPI number?

Jeffrey Petersen's NPI number is 1669454211, a unique 10-digit identifier issued by CMS.

Q: What does Jeffrey Petersen specialize in?

Jeffrey Petersen specializes in Dentistry, taxonomy code 1223G0001X.

Q: Where does Jeffrey Petersen practice?

Jeffrey Petersen practices in Santa Rosa, CA 95403-4175.

Q: When was Jeffrey Petersen's NPI issued?

Jeffrey Petersen's NPI was issued on November 18, 2005.

Q: What is Jeffrey Petersen's provider type?

Jeffrey Petersen is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDentistry

NPI issued: November 18, 2005

Quick Facts

NPI Number

1669454211

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy1223G0001X — Dentistry

Phone

(707) 579-2808

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1669454211)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (November 18, 2005)

Data source: CMS NPPES

Provider Overview

JEFFREY PETERSEN, DMD is a Dentistry provider based in Santa Rosa, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1669454211

Provider TypeIndividual Provider

GenderMale

CredentialDMD

StatusActive

Enumeration DateNovember 18, 2005

Practice Location

CitySanta Rosa

StateCA

ZIP Code95403-4175

Phone(707) 579-2808

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code1223G0001X

License StateCA

Mailing Address

CitySanta Rosa

StateCA

ZIP Code95403-4175

Phone(707) 579-2808

Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1669454211 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.

🏥

For Credentialing

Reference NPI 1669454211for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1669454211 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 →

📊

174,905

Dentistry Providers in the US