Wayne Peterson, DMD
NPI 1235179466 · General Practice Dentistry · Moscow, ID
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wayne Peterson, DMD is a General Practice Dentistry provider in Moscow, ID (NPI 1235179466).
Provider details
- NPI number
- 1235179466
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- License
- D-1686 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-06-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wayne Peterson's NPI number?
- Wayne Peterson's National Provider Identifier (NPI) is 1235179466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wayne Peterson's specialty?
- Wayne Peterson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Wayne Peterson located?
- Wayne Peterson's practice location on file with NPPES is 1138 W a St, Moscow, ID 83843-2127.
- What is Wayne Peterson's phone number?
- The practice phone number listed in the NPPES registry for Wayne Peterson is (208) 882-9310.
- Does Wayne Peterson accept Medicare?
- Wayne Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wayne Peterson's NPI active?
- Yes — Wayne Peterson's NPI (1235179466) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.