Dr. John Terrance Peterson, DDS

Dr. John Terrance Peterson is a General Practice Dentistry provider (Dentist) practicing in Kankakee, IL, registered in the NPPES registry with NPI 1720035702 since 2006. The credential DDS stands for Doctor of Dental Surgery.

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NPI	1720035702
Entity type	Individual (Type 1)
Name	Dr. John Terrance Peterson
Credential	DDS
Sex	Male
Practice address	200 EAST COURT STREET, SUITE 504, Kankakee, IL, 60901
Phone	8159323613
Fax	8159325332
Enumeration date	2006-05-27
Last updated in NPPES	2007-07-08

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	19A14762	IL

DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
021076	Other	IL	FIRST COMMONWEALTH
606970	Other	IL	UNITED CONCORDIA

Copy-ready billing details

Provider: John Peterson, DDS
NPI: 1720035702
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 200 EAST COURT STREET, SUITE 504, Kankakee, IL, 60901

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1194260794	Emily Clyden	Individual	Speech-Language Pathologist	Kankakee, IL

Verify this record

Cross-check NPI 1720035702 against the authoritative CMS record: view Dr. John Terrance 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

What is the NPI number for John Peterson?

The National Provider Identifier (NPI) for John Peterson is 1720035702, a Type 1 (individual) record in the CMS NPPES registry.

Where does John Peterson practice?

The practice location on file with NPPES is in Kankakee, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.