DR. PETER DANIEL FREDRICKSON DDS
NPI 1083138820
Dentist - General Practice in Berkeley, CA

Q: What is Peter Fredrickson's NPI number?

The NPI number for Peter Fredrickson is 1083138820. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Peter Fredrickson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Fredrickson was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since August 02, 2017

2999 REGENT ST STE 714, BERKELEY, CA 94705(510) 848-3143 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Peter Daniel Fredrickson Dds NPPES

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

DR. PETER DANIEL FREDRICKSON DDS (NPI 1083138820) is an individual general practice provider in Berkeley, California, licensed in California (101791) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1083138820

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PETER DANIEL FREDRICKSONCredential: DDS

Location Address2999 REGENT ST STE 714Berkeley, CA 94705-2122

Mailing Address2999 Regent St Ste 714Berkeley, CA 94705-2122

Phone(510) 848-3143

Sole ProprietorNo

Enumeration DateAugust 2, 2017

✔ NPI 1083138820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 101791

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.

2999 REGENT ST STE 714, Berkeley, CA 94705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES

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

DR. MARIA ANGELICA FONSECA RICAURTE DDS

Dentist (Prosthodontics)

2999 REGENT ST STE 714
BERKELEY, CA 94705

Alameda County (510) 848-3143

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 Peter Fredrickson's NPI number?

The NPI number for Peter Fredrickson is 1083138820. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Peter Fredrickson located?

Peter Fredrickson practices at 2999 Regent St Ste 714, Berkeley, CA 94705. The listed phone number is (510) 848-3143.

What is Peter Fredrickson's specialty?

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

What insurance does Peter Fredrickson accept?

Health plans from Humana list Peter Fredrickson 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 Peter Fredrickson was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.