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DR. DONALD JOSEPH PETERSON DDS
NPI 1609935097
Dentist in Falcon Heights, MN

Active since December 08, 2006PECOS Enrolled
1579 HAMLINE AVE N, FALCON HEIGHTS, MN 55108(651) 646-8851(651) 646-4477 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald Joseph Peterson Dds NPPES

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

DR. DONALD JOSEPH PETERSON DDS (NPI 1609935097) is an individual dentist in Falcon Heights, Minnesota, licensed in Minnesota (D10383) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609935097
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DONALD JOSEPH PETERSONCredential: DDS
Location Address1579 HAMLINE AVE NFalcon Heights, MN 55108-2107
Mailing Address1901 Simpson StFalcon Heights, MN 55113-6145 · (651) 644-9590
Phone(651) 646-8851
Fax(651) 646-4477
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1609935097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D10383
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.
1579 HAMLINE AVE N, Falcon Heights, MN 55108
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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. Donald Joseph Peterson Dds 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 55108 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 2

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

SARAH LAVAQUE
Acupuncturist
1579 HAMLINE AVE N
FALCON HEIGHTS, MN 55108
Ramsey County (651) 227-6865
PETERSON DENTAL PA
Clinic/Center (Dental)
1579 HAMLINE AVE N
SAINT PAUL, MN 55108
Ramsey County (651) 646-8851

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 Donald Peterson's NPI number?

The NPI number for Donald Peterson is 1609935097. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Donald Peterson located?

Donald Peterson practices at 1579 Hamline Ave N, Falcon Heights, MN 55108. The listed phone number is (651) 646-8851.

What is Donald Peterson's specialty?

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

Is Donald Peterson enrolled in Medicare?

Yes. Donald Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donald Peterson was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.