1. Home
  2. Directory
  3. Texas
  4. Arlington
  5. Dentist
  6. NPI Profile

DR. JILL PETERSON DDS, MPH, PHD
NPI 1356379739
Dentist - Endodontics in Arlington, TX

Active since June 28, 2006Opted out of Medicare · through May 16, 2028
906 N FIELDER RD, ARLINGTON, TX 76012(817) 461-4292(817) 276-0229 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jill Peterson Dds, Mph, Phd NPPES

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

DR. JILL PETERSON DDS, MPH, PHD (NPI 1356379739) is an individual endodontics provider in Arlington, Texas, licensed in Texas (18969) and active in the NPI registry since June 2006. She has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356379739
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JILL PETERSONCredential: DDS, MPH, PHD
Location Address906 N FIELDER RDArlington, TX 76012-3195
Mailing Address906 N Fielder RdArlington, TX 76012-3195 · (817) 461-4292 · Fax (817) 276-0229
Phone(817) 461-4292
Fax(817) 276-0229
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356379739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in TX · 18969
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
906 N FIELDER RD, Arlington, TX 76012
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jill Peterson Dds, Mph, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2016 through May 16, 2028.

Opt-Out Effective DateMay 16, 2016
Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 2

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

UPTOWN ENDODONTICS, PA
Dentist (Endodontics)
906 N FIELDER RD
ARLINGTON, TX 76012
Tarrant County (817) 461-4292
MACK PIRKEY D.D.S. P.A.
Dentist (General Practice)
906 N FIELDER RD
ARLINGTON, TX 76012
Tarrant County (817) 274-7108

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 Jill Peterson's NPI number?

The NPI number for Jill Peterson is 1356379739. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jill Peterson located?

Jill Peterson practices at 906 N Fielder Rd, Arlington, TX 76012. The listed phone number is (817) 461-4292.

What is Jill Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jill Peterson enrolled in Medicare?

No. Jill Peterson has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jill 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.