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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. PETER MICHAEL NOVOTNY JR. DMD
NPI 1154247633
Dentist in Fort Defiance, AZ

Active since June 29, 2026PECOS Enrolled
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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 Fort Defiance, Arizona, licensed in Florida (DN32097) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1154247633
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETER MICHAEL NOVOTNY JR.Credential: DMD
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504-0649
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649
Phone(928) 729-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 29, 2026
Last NPPES UpdateAugust 31, 2026
NPPES CertifiedAugust 31, 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.
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
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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).

PECOS PAC ID3173080934
PECOS Enrollment IDI20260811005096
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 86504 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.

Other Providers at the Same Location NPPES 20

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

DR. ROMULO LAURETA PARUNGAO M.D.
Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8600
CHARLES EATON PAGE
Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
JAY S GUIKEMA FNP
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MARIBEL PASTRAN RD, CD
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
PONY NANCY SOKIRI PA-C
Physician Assistant
CORNER OF ROUTE N12 AND N7, CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
SARAH R WILLIAMS PT
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
JOHN NORBERT
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. LINDA BROWN TRUDEL MD
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000

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 Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

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 August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.