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

DR. JOHN TERRANCE PETERSON DDS
NPI 1720035702
Dentist - General Practice in Kankakee, IL

Q: What is John Peterson's NPI number?

The NPI number for John Peterson is 1720035702. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is John Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Peterson 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 35 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.

Active since May 27, 2006

200 EAST COURT STREET, SUITE 504, KANKAKEE, IL 60901(815) 932-3613(815) 932-5332 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John Terrance Peterson Dds NPPES

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

DR. JOHN TERRANCE PETERSON DDS (NPI 1720035702) is an individual general practice provider in Kankakee, Illinois, licensed in Illinois (19A14762) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1720035702

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN TERRANCE PETERSONCredential: DDS

Location Address200 EAST COURT STREET, SUITE 504Kankakee, IL 60901-3847

Mailing Address200 East Court Street, Suite 504Kankakee, IL 60901-3847 · (815) 932-3613 · Fax (815) 932-5332

Phone(815) 932-3613

Fax(815) 932-5332

Sole ProprietorNo

Enumeration DateMay 27, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1720035702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 19A14762

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.

200 EAST COURT STREET, Kankakee, IL 60901

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Other Identifiers 2

Other021076IL · First Commonwealth

Other606970IL · United Concordia

Other Providers at the Same Location NPPES

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

MRS. EMILY CLAIRE CLYDEN MHS, CCC-SLP/L

Speech-Language Pathologist

200 EAST COURT STREET, SUITE #708
KANKAKEE, IL 60901

Kankakee County (815) 409-6456

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 John Peterson's NPI number?

The NPI number for John Peterson is 1720035702. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is John Peterson located?

John Peterson practices at 200 East Court Street Suite 504, Kankakee, IL 60901. The listed phone number is (815) 932-3613.

What is John Peterson'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 John Peterson 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 35 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.