What is Edwin Peterson's NPI number?

Edwin Peterson's National Provider Identifier (NPI) is 1922012061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Edwin Peterson's specialty?

Edwin Peterson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Edwin Peterson located?

Edwin Peterson's practice location on file with NPPES is 629 S Main St, Nevada, MO 64772-3555.

What is Edwin Peterson's phone number?

The practice phone number listed in the NPPES registry for Edwin Peterson is (417) 667-3134.

Is Edwin Peterson's NPI active?

Yes — Edwin Peterson's NPI (1922012061) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Edwin Peterson, DDS

NPI 1922012061 · Dentist · Nevada, MO

Edwin Peterson, DDS is a Dentist provider in Nevada, MO (NPI 1922012061).

Provider details

NPI number: 1922012061
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 12736 (MO)

Specialties & taxonomies

DentistPrimary122300000XLicense 12736 (MO)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

629 S Main St

Nevada, MO 64772-3555

Phone: (417) 667-3134

Street-level locationGet directions

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Mailing address