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DR. NOAH J PETERS D.D.S
NPI 1710184775
Dentist - General Practice in Missoula, MT

Active since July 02, 2007Opted out of Medicare · through Mar 31, 2028
715 W CENTRAL AVE, MISSOULA, MT 59801(406) 728-2840(406) 728-3083 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Noah J Peters D.d.s NPPES

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

DR. NOAH J PETERS D.D.S (NPI 1710184775) is an individual general practice provider in Missoula, Montana, licensed in Montana (2249) and active in the NPI registry since July 2007. He has opted out of Medicare through March 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710184775
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NOAH J PETERSCredential: D.D.S
Location Address715 W CENTRAL AVEMissoula, MT 59801-6808
Mailing Address715 W Central AveMissoula, MT 59801-6808 · (406) 728-2840 · Fax (406) 728-3083
Phone(406) 728-2840
Fax(406) 728-3083
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1710184775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MT · 2249
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.
715 W CENTRAL AVE, Missoula, MT 59801
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Other Identifiers 3

Other5512754MT · Chip
Other41244MT · Bcbs
Medicaid0113305MT

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

ⓘ

Opted out of Medicare

Dr. Noah J Peters D.d.s 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 March 31, 2016 through March 31, 2028.

Opt-Out Effective DateMarch 31, 2016
Opt-Out In Effect ThroughMarch 31, 2028Opt-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 59801 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

DR. JASON C OLSEN D.D.S., P.C.
Dentist (General Practice)
715 W CENTRAL AVE
MISSOULA, MT 59801
Missoula County (406) 728-2840
OLSEN DENTAL PC
Dentist
715 W CENTRAL AVE
MISSOULA, MT 59801
Missoula County (406) 728-2840

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 Noah Peters's NPI number?

The NPI number for Noah Peters is 1710184775. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Noah Peters located?

Noah Peters practices at 715 W Central Ave, Missoula, MT 59801. The listed phone number is (406) 728-2840.

What is Noah Peters's specialty?

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

Is Noah Peters enrolled in Medicare?

No. Noah Peters has opted out of Medicare through March 31, 2028. 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 Noah Peters accept?

Health plans from Humana list Noah 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 Noah Peters was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.