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TAYNE PETERSON
NPI 1952960205
Dentist - General Practice in Burley, ID

Active since June 11, 2019
2200 PARK AVE STE 2, BURLEY, ID 83318(208) 878-6684(208) 678-3170 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2022, Jun 11, 2019 (2 updates tracked since 2019).

About Tayne Peterson NPPES

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

TAYNE PETERSON (NPI 1952960205) is an individual general practice provider in Burley, Idaho, licensed in Idaho (D-5401) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1952960205
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTAYNE PETERSON
Location Address2200 PARK AVE STE 2Burley, ID 83318-2186
Mailing Address2200 Park AveBurley, ID 83318-2186 · (208) 878-6684
Phone(208) 878-6684
Fax(208) 678-3170
Sole ProprietorNo
Enumeration DateJune 11, 2019
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1952960205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-5401
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.
2200 PARK AVE STE 2, Burley, ID 83318
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

TAYNE A PETERSON DMD PLLC
Clinic/Center (Dental)
2200 PARK AVE STE 2
BURLEY, ID 83318
Cassia County (208) 878-6684

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 Tayne Peterson's NPI number?

The NPI number for Tayne Peterson is 1952960205. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Tayne Peterson located?

Tayne Peterson practices at 2200 Park Ave Ste 2, Burley, ID 83318. The listed phone number is (208) 878-6684.

What is Tayne Peterson's specialty?

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

What insurance does Tayne Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Tayne 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 Tayne Peterson was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.