PETERSON, KRISCHE, VAN HORN, DDS, LLC
NPI 1417945544
Dentist - General Practice in Lawrence, KS

NPI Status: Active since October 12, 2005

Contact Information

2210 YALE RD
LAWRENCE, KS
ZIP 66049
Phone: (785) 842-0705
Fax: (785) 865-2324

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance
  • CLIA Number: 17D2193357
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-20-2026

About PETERSON, KRISCHE, VAN HORN, DDS, LLC

This page provides the complete NPI Profile along with additional information for Peterson, Krische, Van Horn, Dds, Llc, a provider established in Lawrence, Kansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1417945544 assigned on October 2005. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kent T Peterson Dds (Managing Partner)

NPI
1417945544
Provider Name
PETERSON, KRISCHE, VAN HORN, DDS, LLC
Entity Type
Organization
Location Address
2210 YALE RD LAWRENCE, KS 66049
Location Phone
(785) 842-0705
Location Fax
(785) 865-2324
Mailing Address
2210 YALE RD LAWRENCE, KS 66049
Mailing Phone
(785) 842-0705
Mailing Fax
(785) 865-2324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2005
Last Update Date
08-01-2011
Code Navigator

A dentist like Peterson, Krische, Van Horn, Dds, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENT T PETERSON DDS

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(785) 842-0705

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
420744OTHER (01)KSBLUE CROSS BLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D2193357
Facility Type
Assisted Living Facility
Certificate Effective Date
September 21, 2024
Certificate Expiration Date
September 20, 2026
Laboratory Director
TRACI HAYDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peterson, Krische, Van Horn, Dds, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417945544, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 8 + 4 + 1 + 0 + 5 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1417945544.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
2210 YALE RD
LAWRENCE, KS 66049
Dentist (General Practice)
2210 YALE RD
LAWRENCE, KS 66049
Dentist (General Practice)
2210 YALE RD
LAWRENCE, KS 66049
Dentist
2210 YALE RD
LAWRENCE, KS 66049
Dentist (Dental Public Health)
2210 YALE RD
LAWRENCE, KS 66049
Dentist
2210 YALE RD
LAWRENCE, KS 66049

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417945544, enumerated as an "organization" on October 12, 2005.

The provider is located at 2210 YALE RD LAWRENCE, KS 66049 and the phone number is (785) 842-0705.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc., Blue. Please consult your insurance carrier or call the provider to verify.