1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Dentist
  6. NPI Profile

JASON M PETERSON DDS
NPI 1225255748
Dentist - Periodontics in Idaho Falls, ID

Active since April 18, 2007
1980 1ST ST, IDAHO FALLS, ID 83401(208) 524-3400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason M Peterson Dds NPPES

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

JASON M PETERSON DDS (NPI 1225255748) is an individual periodontics provider in Idaho Falls, Idaho, licensed in Idaho (D3325PE) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1225255748
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameJASON M PETERSONCredential: DDS
Location Address1980 1ST STIdaho Falls, ID 83401-4342
Mailing Address1980 1st StIdaho Falls, ID 83401-4342 · (208) 524-3400
Phone(208) 524-3400
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225255748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ID · D3325PE
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1980 1ST ST, Idaho Falls, ID 83401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. RICHARD DUKE DAVIS DMD
Dentist (Periodontics)
1980 1ST ST
IDAHO FALLS, ID 83401
Bonneville County (208) 350-3897

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 Jason Peterson's NPI number?

The NPI number for Jason Peterson is 1225255748. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jason Peterson located?

Jason Peterson practices at 1980 1st St, Idaho Falls, ID 83401. The listed phone number is (208) 524-3400.

What is Jason Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jason Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jason Peterson 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 Jason Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.