Dr. Russell Thomas Peterson, DDS
Dr. Russell Thomas Peterson is a Dentist provider (Dentist) practicing in Saint Cloud, MN, registered in the NPPES registry with NPI 1457513616 since 2008. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457513616 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Russell Thomas Peterson |
| Credential | DDS |
| Sex | Male |
| Practice address | 816 W SAINT GERMAIN ST, SUITE 101, Saint Cloud, MN, 56301 |
| Phone | 3202522454 |
| Fax | 3202522232 |
| Enumeration date | 2008-06-30 |
| Last updated in NPPES | 2009-05-14 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | D12530 | MN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Russell Peterson, DDS NPI: 1457513616 Taxonomy: 122300000X (Dentist) Address: 816 W SAINT GERMAIN ST, SUITE 101, Saint Cloud, MN, 56301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154353886 | John Miley | Individual | Acupuncturist | Saint Cloud, MN |
Verify this record
Cross-check NPI 1457513616 against the authoritative CMS record: view Dr. Russell Thomas Peterson on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
How do I verify Russell Peterson's NPI record?
Is NPI 1457513616 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-05-14.