Susan Petersen, DMD

ActiveIndividual ProviderDentistry
NPI issued: December 28, 2005

Quick Facts

NPI Number
1912984352
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(707) 579-2808
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1912984352)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 28, 2005)
Data source: CMS NPPES

Provider Overview

SUSAN 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 Number1912984352
Provider TypeIndividual Provider
GenderFemale
CredentialDMD
StatusActive
Enumeration DateDecember 28, 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

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For Insurance Billing

Use NPI 1912984352 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 1912984352for 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 1912984352 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.

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174,905
Dentistry Providers in the US

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Jeffrey Petersen, DMD

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People Also Ask

What is Susan Petersen's NPI number?
Susan Petersen's NPI number is 1912984352, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Susan Petersen's NPI currently active?
Yes, Susan Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Susan Petersen specialize in?
Susan Petersen specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Susan Petersen practice?
Susan Petersen practices in Santa Rosa, CA 95403-4175.
When was Susan Petersen's NPI issued?
Susan Petersen's NPI was issued on December 28, 2005.
What is Susan Petersen's provider type?
Susan Petersen is registered as an Individual Provider under CMS NPI Type 1.