DR. SHAWN RAY PETERSEN D.D.S
NPI 1437363058
Dentist in Atlantic, IA

Active since May 10, 2007PECOS Enrolled
1501 E 10TH ST, ATLANTIC, IA 50022(712) 243-1833(712) 243-7552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shawn Ray Petersen D.d.s NPPES

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

DR. SHAWN RAY PETERSEN D.D.S (NPI 1437363058) is an individual dentist in Atlantic, Iowa, licensed in Iowa (08027) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437363058
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHAWN RAY PETERSENCredential: D.D.S
Location Address1501 E 10TH STAtlantic, IA 50022-1936
Mailing Address1501 E 10th StAtlantic, IA 50022-1936 · (712) 243-1833 · Fax (712) 243-7552
Fax(712) 243-7552
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1437363058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IA · 08027
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.

1501 E 10TH ST, Atlantic, IA 50022

Accepted 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)

Dr. Shawn Ray Petersen 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 50022 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Optometrist
1501 E 10TH ST
ATLANTIC, IA 50022
Surgery
1501 E 10TH ST
ATLANTIC, IA 50022
Nurse Practitioner
1501 E 10TH ST
ATLANTIC, IA 50022
Dietitian, Registered
1501 E 10TH ST
ATLANTIC, IA 50022
Dentist (General Practice)
1501 E 10TH ST
ATLANTIC, IA 50022
Dentist (General Practice)
1501 E 10TH ST
ATLANTIC, IA 50022
Occupational Therapist
1501 E 10TH ST
ATLANTIC, IA 50022
Nurse Anesthetist, Certified Registered
1501 E 10TH ST
ATLANTIC, IA 50022
Physical Therapist
1501 E 10TH ST, REHABILITATION SERVICES
ATLANTIC, IA 50022
Occupational Therapist
1501 E 10TH ST
ATLANTIC, IA 50022
Nurse Practitioner (Family)
1501 E 10TH ST
ATLANTIC, IA 50022
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Podiatrist (Foot & Ankle Surgery)
1501 E 10TH ST
ATLANTIC, IA 50022
Physical Therapist
1501 E 10TH ST
ATLANTIC, IA 50022
Nurse Practitioner (Family)
1501 E 10TH ST
ATLANTIC, IA 50022
Occupational Therapist
1501 E 10TH ST
ATLANTIC, IA 50022
Specialist/Technologist (Athletic Trainer)
1501 E 10TH ST
ATLANTIC, IA 50022
Nurse Practitioner (Family)
1501 E 10TH ST
ATLANTIC, IA 50022
Physician Assistant
1501 E 10TH ST
ATLANTIC, IA 50022
Speech-Language Pathologist
1501 E 10TH ST
ATLANTIC, IA 50022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437363058, enumerated as an "individual" on May 10, 2007.

The provider is located at 1501 E 10TH ST ATLANTIC, IA 50022 and the phone number is (712) 243-1833.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.