VACHAREE SRISWAD PETERSON - NPI 1184694408

Q: What is Vacharee Peterson's NPI number?

The NPI number for Vacharee Peterson is 1184694408. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Vacharee Peterson'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 Vacharee Peterson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Vacharee Sriswad Peterson NPPES

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

VACHAREE SRISWAD PETERSON (NPI 1184694408) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (D9309) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184694408

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameVACHAREE SRISWAD PETERSON

Location Address828 HAWTHORNE ST ESaint Paul, MN 55106-3252

Mailing Address1184 Orange Ave ESaint Paul, MN 55106-2075

Phone(651) 774-2959

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1184694408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D9309

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.

828 HAWTHORNE ST E, Saint Paul, MN 55106

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vacharee Sriswad Peterson 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 55106 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 13

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

DR. IPINDER S PURI DDS

Dentist (General Practice)