Mark L. Peterson
Mark L. Peterson is a healthcare organization registered as General Practice Dentistry in Rigby, ID, holding Type 2 (organization) NPI 1467611624 since 2008. The authorized official on file is Mark Peterson, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1467611624 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark L. Peterson |
| Other name | <Unavail> |
| Practice address | 127 1/2 E SHORT ST, Rigby, ID, 83442 |
| Phone | 2087456536 |
| Fax | 2087450006 |
| Enumeration date | 2008-06-03 |
| Last updated in NPPES | 2008-06-03 |
Authorized official
| Name | Mark Peterson |
|---|---|
| Title | Dentist |
| Phone | 2087456536 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D1758 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181636 | Other | — | IDAHO SMILES |
| 001264500 | Medicaid | ID | — |
| 476086 | Other | — | UNITED CONCORDIA |
Copy-ready billing details
Provider: Mark L. Peterson NPI: 1467611624 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 127 1/2 E SHORT ST, Rigby, ID, 83442
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689782864 | Mark Peterson | Individual | General Practice Dentistry | Rigby, ID |
| 1124465059 | Rigby Dental, Inc. | Organization | Dentist | Rigby, ID |
Verify this record
Cross-check NPI 1467611624 against the authoritative CMS record: view Mark L. 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 Mark L. Peterson?
Who is the authorized official for Mark L. Peterson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-03.