DR. PETER W. DOERKEN D.D.S.
NPI 1356687057
Dentist in Santa Monica, CA

Q: What is Peter Doerken's NPI number?

The NPI number for Peter Doerken is 1356687057. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Q: What is Peter Doerken'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 Peter Doerken was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 27, 2012PECOS Enrolled

1448 15TH STREET, SUITE 100, SANTA MONICA, CA 90404(310) 458-9800(310) 458-9891 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Peter W. Doerken D.d.s. NPPES

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

DR. PETER W. DOERKEN D.D.S. (NPI 1356687057) is an individual dentist in Santa Monica, California, licensed in California (21874) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356687057

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PETER W. DOERKENCredential: D.D.S.

Location Address1448 15TH STREET, SUITE 100Santa Monica, CA 90404

Mailing Address1448 15th Street, Suite 100Santa Monica, CA 90404 · (310) 458-9800 · Fax (310) 458-9891

Phone(310) 458-9800

Fax(310) 458-9891

Sole ProprietorYes

Enumeration DateDecember 27, 2012

Last NPPES UpdateMarch 7, 2023

✔ NPI 1356687057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 21874

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.

1448 15TH STREET, Santa Monica, CA 90404

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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 W. Doerken D.d.s. 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 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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

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

MR. STEFAN HAGOPIAN DO

Neuromusculoskeletal Medicine & OMM

1448 15TH STREET, SUITE 207
SANTA MONICA, CA 90404

Los Angeles County (310) 576-2505

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 Doerken's NPI number?

The NPI number for Peter Doerken is 1356687057. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Where is Peter Doerken located?

Peter Doerken practices at 1448 15th Street Suite 100, Santa Monica, CA 90404. The listed phone number is (310) 458-9800.

What is Peter Doerken's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Doerken enrolled in Medicare?

Yes. Peter Doerken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Doerken was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.