Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Douglas George Petersen, DDS
Periodontics in Edina, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1134208630
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Douglas George Petersen
Credential DDS
Sex Male
Practice address 6545 France Ave S, #366, Edina, MN, 55435
Phone (952) 926-2763
Enumeration date Nov 3, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Douglas Petersen?
The National Provider Identifier (NPI) for Douglas Petersen is 1134208630, a Type 1 (individual) record in the CMS NPPES registry.
Where does Douglas Petersen practice?
The practice location on file with NPPES is in Edina, MN. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Paul Gotlieb Internal Medicine Physician · Edina, MN NPI 1578569042 Praveena Kanth Internal Medicine Physician · Edina, MN NPI 1437155678 Southdale Periodontics Periodontics · Edina, MN NPI 1326044538 Richard Werner Plastic and Reconstructive Surgery Physician · Edina, MN NPI 1578569539 Thomas Dressel Plastic and Reconstructive Surgery Physician · Edina, MN NPI 1386642767 Kevin Oconnor Psychiatry Physician · Edina, MN NPI 1396743670 Edina Medical Supplies, Inc. Durable Medical Equipment & Medical Supplies · Edina, MN NPI 1376530931 Obstetrics and Gynecology Associates, P.A. Obstetrics & Gynecology Physician · Edina, MN NPI 1871576116
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.