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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHELLE LYNN PETERSEN D.D.S.
NPI 1063488047
Dentist - General Practice in Prairie Village, KS

Active since February 28, 2006
8010 STATE LINE RD, SUITE 210, PRAIRIE VILLAGE, KS 66208(913) 341-2200(913) 648-7605 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michelle Lynn Petersen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE LYNN PETERSEN D.D.S. (NPI 1063488047) is an individual general practice provider in Prairie Village, Kansas, licensed in Kansas (5735) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063488047
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHELLE LYNN PETERSENCredential: D.D.S.
Location Address8010 STATE LINE RD, SUITE 210Prairie Village, KS 66208-3710
Mailing Address8010 State Line Rd, Suite 210Prairie Village, KS 66208-3710 · (913) 341-2200 · Fax (913) 648-7605
Phone(913) 341-2200
Fax(913) 648-7605
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063488047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 5735
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8010 STATE LINE RD, Prairie Village, KS 66208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE L BARRON PHD. INC.
Psychologist (Clinical)
8010 STATE LINE RD, SUITE 230
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 901-8223
DR. CLAIRE L BARRON PHD
Psychologist (School)
8010 STATE LINE RD, STE 230
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 901-8223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Petersen's NPI number?

The NPI number for Michelle Petersen is 1063488047. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Michelle Petersen located?

Michelle Petersen practices at 8010 State Line Rd Suite 210, Prairie Village, KS 66208. The listed phone number is (913) 341-2200.

What is Michelle Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Michelle Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Michelle Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Petersen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.