DR. RICHARD TRUMAN PETERSON DMD
NPI 1164128542
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since February 06, 2023
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-3419 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2023, Feb 16, 2023, Feb 6, 2023 (3 updates tracked since 2023).

About Dr. Richard Truman Peterson Dmd NPPES

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

DR. RICHARD TRUMAN PETERSON DMD (NPI 1164128542) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1164128542
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RICHARD TRUMAN PETERSONCredential: DMD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1197
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1197
Sole ProprietorNo
Enumeration DateFebruary 6, 2023
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
NPI 1164128542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 PELHAM PKWY S, Bronx, NY 10461

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Practice
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER 1E12
BRONX, NY 10461
Dentist
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER
BRONX, NY 10461
Internal Medicine (Gastroenterology)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Dentist (Pediatric Dentistry)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Nurse Practitioner (Obstetrics & Gynecology)
1400 PELHAM PKWY S
BRONX, NY 10461
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine (Cardiovascular Disease)
1400 PELHAM PKWY S, BLDG 1 ROOM 5E-02
BRONX, NY 10461
Emergency Medicine (Pediatric Emergency Medicine)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Pediatrics
1400 PELHAM PKWY S
BRONX, NY 10461
Pediatrics
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164128542, enumerated as an "individual" on February 06, 2023.

The provider is located at 1400 PELHAM PKWY S BRONX, NY 10461 and the phone number is (718) 918-3419.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.