JONATHAN MICHAEL BROWN PETERSEN D.M.D.
NPI 1821433848
Dentist - Orthodontics and Dentofacial Orthopedics in Roseburg, OR

Active since May 03, 2013
500 SE DOUGLAS AVE, ROSEBURG, OR 97470(541) 672-5721 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Michael Brown Petersen D.m.d. NPPES

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

JONATHAN MICHAEL BROWN PETERSEN D.M.D. (NPI 1821433848) is an individual orthodontics and dentofacial orthopedics provider in Roseburg, Oregon, licensed in Oregon (D10421) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1821433848
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJONATHAN MICHAEL BROWN PETERSENCredential: D.M.D.
Location Address500 SE DOUGLAS AVERoseburg, OR 97470-3120
Mailing Address2282 Nw Calkins AveRoseburg, OR 97471-1800 · (801) 336-8621
Sole ProprietorYes
Enumeration DateMay 3, 2013
Last NPPES UpdateJuly 14, 2016
NPI 1821433848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OR · D10421
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
500 SE DOUGLAS AVE, Roseburg, OR 97470

Accepted Insurance

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.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
500 SE DOUGLAS AVE
ROSEBURG, OR 97470
Dentist (Orthodontics and Dentofacial Orthopedics)
500 SE DOUGLAS AVE
ROSEBURG, OR 97470

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 Jonathan Petersen's NPI number?

The NPI number for Jonathan Petersen is 1821433848. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Jonathan Petersen located?

Jonathan Petersen practices at 500 SE Douglas Ave, Roseburg, OR 97470. The listed phone number is (541) 672-5721.

What is Jonathan Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Jonathan Petersen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Delta Dental Plan of Oregon and 6 other insurers list Jonathan Petersen 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 Jonathan Petersen was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.