1144430679 NPI number — DR. CHRISTINE GRACE PETERSON DDS

Table of content: DR. CHRISTINE GRACE PETERSON DDS (NPI 1144430679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144430679 NPI number — DR. CHRISTINE GRACE PETERSON DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PETERSON
Provider First Name:
CHRISTINE
Provider Middle Name:
GRACE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144430679
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
233 ASPEN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BISMARCK
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58503-0204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-258-5253
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
STANDING ROCK IHS HOSPITAL
Provider Second Line Business Practice Location Address:
00N10 NORTH RIVER ROAD
Provider Business Practice Location Address City Name:
FORT YATES
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-854-8219
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223D0001X , with the licence number:  1956 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)