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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THEODORE EDWARD DAVID PETERS DDS
NPI 1457342750
Dentist in Tampa, FL

Active since November 04, 2005Opted out of Medicare · through May 16, 2027
508 SOUTH HABANA AVE, SUITE 110, TAMPA, FL 33609(813) 870-1220(813) 870-2615 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Edward David Peters Dds NPPES

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

DR. THEODORE EDWARD DAVID PETERS DDS (NPI 1457342750) is an individual dentist in Tampa, Florida, licensed in Florida (DN0013473) and active in the NPI registry since November 2005. He has opted out of Medicare through May 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457342750
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THEODORE EDWARD DAVID PETERSCredential: DDS
Location Address508 SOUTH HABANA AVE, SUITE 110Tampa, FL 33609
Mailing Address508 South Habana Ave, Suite 110Tampa, FL 33609 · (813) 870-1220 · Fax (813) 870-2615
Phone(813) 870-1220
Fax(813) 870-2615
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1457342750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN0013473
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.
508 SOUTH HABANA AVE, Tampa, FL 33609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Theodore Edward David Peters Dds 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, 2013 through May 16, 2027.

Opt-Out Effective DateMay 16, 2013
Opt-Out In Effect ThroughMay 16, 2027Opt-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 33609 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Theodore Peters's NPI number?

The NPI number for Theodore Peters is 1457342750. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Theodore Peters located?

Theodore Peters practices at 508 South Habana Ave Suite 110, Tampa, FL 33609. The listed phone number is (813) 870-1220.

What is Theodore Peters's specialty?

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

Is Theodore Peters enrolled in Medicare?

No. Theodore Peters has opted out of Medicare through May 16, 2027. 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.

What insurance does Theodore Peters accept?

Health plans from Humana list Theodore Peters 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 Theodore Peters was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.