Daniel Petersen DDS, Inc.
Daniel Petersen DDS, Inc. is a healthcare organization registered as Oral & Maxillofacial Surgery (D.M.D.) in Redding, CA, holding Type 2 (organization) NPI 1649677915 since 2014. The authorized official on file is Daniel Petersen, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649677915 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Daniel Petersen DDS, Inc. |
| Other name | <Unavail> |
| Practice address | 316 KNOLLCREST DR, Redding, CA, 96002 |
| Phone | 5302231811 |
| Fax | 5302231813 |
| Enumeration date | 2014-12-02 |
| Last updated in NPPES | 2014-12-02 |
Authorized official
| Name | Daniel Petersen |
|---|---|
| Title | Owner |
| Phone | 5302231811 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | Primary | 57031 | CA |
Copy-ready billing details
Provider: Daniel Petersen DDS, Inc. NPI: 1649677915 Taxonomy: 204E00000X (Oral & Maxillofacial Surgery (D.M.D.)) Address: 316 KNOLLCREST DR, Redding, CA, 96002
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497817191 | Daniel Petersen | Individual | Oral and Maxillofacial Surgery (Dentist) | Redding, CA |
| 1932510815 | Shaun Burlingame | Individual | Oral and Maxillofacial Surgery (Dentist) | Redding, CA |
| 1871908038 | Francisco Suarez | Individual | Oral and Maxillofacial Surgery (Dentist) | Redding, CA |
| 1518506773 | Francisco Suarez, DDS Inc. | Organization | Oral and Maxillofacial Surgery (Dentist) | Redding, CA |
| 1215537444 | Ingersoll Knollcrest Os Dental Corporation | Organization | Oral and Maxillofacial Surgery (Dentist) | Redding, CA |
Verify this record
Cross-check NPI 1649677915 against the authoritative CMS record: view Daniel Petersen DDS, Inc. 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
Who is the authorized official for Daniel Petersen DDS, Inc.?
What is the NPI number for Daniel Petersen DDS, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-12-02.