OrganizationActive
Tayne a Peterson DMD PLLC
NPI 1942936406 · Dental Clinic/Center · Burley, ID
Tayne a Peterson DMD PLLC is a Dental Clinic/Center organization in Burley, ID (NPI 1942936406).
Provider details
- NPI number
- 1942936406
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tayne Peterson, Sole Mbr(208) 670-4428
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2200 Park Ave Ste 2
Burley, ID 83318-2186
Phone: (208) 878-6684
Street-level locationGet directions
Mailing address
2200 Park Ave Ste 2
Burley, ID 83318-2186
Other names (DBA / former)
- Doing business as
- Burley Family Dental
- Doing business as
- Burley Family Dental
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Frequently asked questions
- What is Tayne a Peterson DMD PLLC's NPI number?
- Tayne a Peterson DMD PLLC's National Provider Identifier (NPI) is 1942936406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tayne a Peterson DMD PLLC?
- Tayne a Peterson DMD PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tayne a Peterson DMD PLLC located?
- Tayne a Peterson DMD PLLC's practice location on file with NPPES is 2200 Park Ave Ste 2, Burley, ID 83318-2186.
- What is Tayne a Peterson DMD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tayne a Peterson DMD PLLC is (208) 878-6684.
- Who is the authorized official for Tayne a Peterson DMD PLLC?
- The authorized official listed on Tayne a Peterson DMD PLLC's NPPES record is Tayne Peterson, Sole Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tayne a Peterson DMD PLLC's NPI active?
- Yes — Tayne a Peterson DMD PLLC's NPI (1942936406) is active in the NPPES registry as of the last update on 2022-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.