DR. PAUL WILLIAM PETERSON D.D.S.
NPI 1952562803
Dentist - General Practice in Golden Valley, MN
About Dr. Paul William Peterson D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL WILLIAM PETERSON D.D.S. (NPI 1952562803) is an individual general practice provider in Golden Valley, Minnesota, licensed in Minnesota (D12584) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Paul William Peterson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
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 Paul Peterson's NPI number?
The NPI number for Paul Peterson is 1952562803. It was assigned to this individual provider in the NPPES registry on June 23, 2008.
Where is Paul Peterson located?
Paul Peterson practices at 5851 Duluth St, Golden Valley, MN 55422. The listed phone number is (763) 546-1301.
What is Paul Peterson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Paul Peterson enrolled in Medicare?
Yes. Paul Peterson is registered in the Medicare PECOS enrollment system.
What insurance does Paul Peterson accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Paul Peterson 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 Paul Peterson was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Paul William Peterson, D.D.S. · NPI 1952562803
General Practice provider in Golden Valley, Minnesota. Individual provider, active in the CMS NPPES registry since June 23, 2008.
## Identity
- **NPI:** 1952562803 (Entity type: Individual)
- **Enumerated:** June 23, 2008
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** D12584 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5851 DULUTH ST, Golden Valley, MN 55422-3946
- **Phone:** (763) 546-1301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 23, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1952562803) · Data from the CMS NPPES public registry.