DR. JOSHUA PETERSEN
NPI 1508424680
Dentist - General Practice in Rapid City, SD

Active since June 03, 2019
1687 TABLEROCK RD, RAPID CITY, SD 57701(605) 342-6652 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joshua Petersen NPPES

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

DR. JOSHUA PETERSEN (NPI 1508424680) is an individual general practice provider in Rapid City, South Dakota, licensed in South Dakota (D1231) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1508424680
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOSHUA PETERSEN
Location Address1687 TABLEROCK RDRapid City, SD 57701-5495
Mailing Address1687 Tablerock RdRapid City, SD 57701-5495
Sole ProprietorNo
Enumeration DateJune 3, 2019
NPI 1508424680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SD · D1231
Definition
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.
1687 TABLEROCK RD, Rapid City, SD 57701

Other Identifiers 1

OtherD1231SD · License

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
1687 TABLEROCK RD
RAPID CITY, SD 57701

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 Joshua Petersen's NPI number?

The NPI number for Joshua Petersen is 1508424680. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Joshua Petersen located?

Joshua Petersen practices at 1687 Tablerock Rd, Rapid City, SD 57701. The listed phone number is (605) 342-6652.

What is Joshua Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Joshua Petersen was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.