Ty Peterson, DMD

ActiveIndividual ProviderDentistry
NPI issued: June 14, 2019

Quick Facts

NPI Number
1689234437
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(208) 934-8080
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1689234437)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 14, 2019)
Data source: CMS NPPES

Provider Overview

TY PETERSON, DMD is a Dentistry provider based in Gooding, ID who has been registered with CMS since 2019. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1689234437
Provider TypeIndividual Provider
GenderMale
CredentialDMD
StatusActive
Enumeration DateJune 14, 2019

Practice Location

CityGooding
StateID
ZIP Code83330-1302
Phone(208) 934-8080

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateID

Mailing Address

CityGooding
StateID
ZIP Code83330-1302
Phone(208) 934-8080
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1689234437 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 1689234437for 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 1689234437 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.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Ty Peterson's NPI number?
Ty Peterson's NPI number is 1689234437, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ty Peterson's NPI currently active?
Yes, Ty Peterson's NPI status is Active as of the latest CMS NPPES database updates.
What does Ty Peterson specialize in?
Ty Peterson specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Ty Peterson practice?
Ty Peterson practices in Gooding, ID 83330-1302.
When was Ty Peterson's NPI issued?
Ty Peterson's NPI was issued on June 14, 2019.
What is Ty Peterson's provider type?
Ty Peterson is registered as an Individual Provider under CMS NPI Type 1.