Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. PETER MICHAEL NOVOTNY JR. DMD
NPI 1154247633
Dentist in Sanders, AZ

Q: What is Peter Novotny's NPI number?

The NPI number for Peter Novotny is 1154247633. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Q: What is Peter Novotny's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Novotny was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.

Active since June 29, 2026PECOS Enrolled

PO BOX 125, SANDERS, AZ 86512(928) 688-5600 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Peter Michael Novotny Jr. Dmd NPPES

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

DR. PETER MICHAEL NOVOTNY JR. DMD (NPI 1154247633) is an individual dentist in Sanders, Arizona, licensed in Florida (DN32097) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154247633

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PETER MICHAEL NOVOTNY JR.Credential: DMD

Location AddressPO BOX 125Sanders, AZ 86512-0125

Mailing Address16055 Sims Rd Apt 104Delray Beach, FL 33484-6312 · (561) 212-1308

Phone(928) 688-5600

Sole ProprietorNo

Enumeration DateJune 29, 2026

NPPES CertifiedJune 28, 2026

✔ NPI 1154247633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN32097

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

PO BOX 125, Sanders, AZ 86512

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Michael Novotny Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Novotny's NPI number?

The NPI number for Peter Novotny is 1154247633. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Peter Novotny located?

Peter Novotny practices at PO Box 125, Sanders, AZ 86512. The listed phone number is (928) 688-5600.

What is Peter Novotny's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Novotny enrolled in Medicare?

Yes. Peter Novotny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Novotny was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.