Katie Peterson, DDS
NPI 1124313143 · Dentist · Bemidji, MN
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katie Peterson, DDS is a Dentist provider in Bemidji, MN (NPI 1124313143).
Provider details
- NPI number
- 1124313143
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D12931 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-17
- Last updated
- 2013-08-14
Frequently asked questions
- What is Katie Peterson's NPI number?
- Katie Peterson's National Provider Identifier (NPI) is 1124313143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katie Peterson's specialty?
- Katie Peterson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Katie Peterson located?
- Katie Peterson's practice location on file with NPPES is 1405 Anne St Nw, Bemidji, MN 56601-5113.
- What is Katie Peterson's phone number?
- The practice phone number listed in the NPPES registry for Katie Peterson is (218) 444-9646.
- Does Katie Peterson accept Medicare?
- Katie Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katie Peterson's NPI active?
- Yes — Katie Peterson's NPI (1124313143) is active in the NPPES registry as of the last update on 2013-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.