Kirk Petersen, D.M.D.
NPI 1285638106 · Dentist · Smith River, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kirk Petersen, D.M.D. is a Dentist provider in Smith River, CA (NPI 1285638106).
Provider details
- NPI number
- 1285638106
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35534 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
- 2005-06-09
- Last updated
- 2018-03-03
Frequently asked questions
- What is Kirk Petersen's NPI number?
- Kirk Petersen's National Provider Identifier (NPI) is 1285638106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kirk Petersen's specialty?
- Kirk Petersen is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kirk Petersen located?
- Kirk Petersen's practice location on file with NPPES is 501 N Indian Rd, Smith River, CA 95567-9509.
- What is Kirk Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kirk Petersen is (707) 487-0215.
- Does Kirk Petersen accept Medicare?
- Kirk Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kirk Petersen's NPI active?
- Yes — Kirk Petersen's NPI (1285638106) is active in the NPPES registry as of the last update on 2018-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.