DANIEL BRYCE PETERSEN D.M.D.
NPI 1003498825
Dentist in Shaw Afb, SC
NPI Status: Active since April 21, 2021
Contact Information
420 POLIFKA DR BLDG 1042
SHAW AFB, SC
ZIP 29152
Phone: (803) 895-6951
- Individual
- Male
- Dentist
- Accepts Insurance
About DANIEL PETERSEN
This page provides the complete NPI Profile along with additional information for Daniel Petersen, a provider established in Shaw Afb, South Carolina with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1003498825 assigned on April 2021. The practitioner's primary taxonomy code is 122300000X with license number 10414 (SC). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1003498825
- Provider Name
- DANIEL BRYCE PETERSEN D.M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152
- Location Phone
- (803) 895-6951
- Mailing Address
- 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152
- Mailing Phone
- (803) 695-6988
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2021
- Last Update Date
- 11-25-2024
- Code Navigator
A dentist like Daniel Petersen is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 10414
- License State
- SC
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- TruAssure Basic Adult or Child Dental Plan - PPO
- TruAssure Preferred Adult or Child Dental Plan - PPO
- TruAssure Preventive Dental Plan - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for DANIEL BRYCE PETERSEN D.M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 4 | 9 | 8 | 8 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 8 | 9 | 16 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 8 + 9 + 1 + 6 + 8 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1003498825 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679070247 | DR. DAVID WAYNE TINDLE MD Individual | Preventive Medicine (Aerospace Medicine) | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6746 |
| 1336721844 | KACIE REMPEL DO Individual | General Practice | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (210) 567-5711 |
| 1629055298 | BRYAN J FUNKE MD, MPH Individual | Preventive Medicine (Aerospace Medicine) | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6746 |
| 1700997194 | KIMBERLEE MAY MANGUIAT-LANG Individual | Dietitian, Registered | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-1216 |
| 1720722473 | DR. JEFFREY CAMERON BACKOFEN DO Individual | Military Health Care Provider | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6191 |
| 1124247754 | MR. BRIAN E. GRAY D.P.T. Individual | Physical Therapist | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 728-0421 |
| 1083699300 | DR. JEFFREY ALLAN BANKS M.D. Individual | Pediatrics | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6356 |
| 1093888299 | JOHN ALAN BARNETT RPH Individual | Pharmacist | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6464 |
| 1316584865 | DIANE SUSAN WHITE NP-C Individual | Nurse Practitioner (Family) | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6356 |
| 1427720325 | RYAN FELDER Individual | Physical Therapist | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6562 |
| 1548644677 | JIM LI Individual | Dentist | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6960 |
| 1578911467 | JESSE JENKINS PA-C Individual | Physician Assistant | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 717-7099 |
| 1659800670 | ALEXANDER TRAN PHARMD Individual | Pharmacist | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6625 |
| 1700042306 | DR. BETTINA WATKINS MD Individual | Family Medicine | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6654 |
| 1710662143 | EMILY SOYOON YOON DDS Individual | Dentist (General Practice) | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6971 |
| 1831880947 | SARAH ZHAO Individual | Dentist (General Practice) | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6988 |
| 1013541663 | CODY K DARRINGTON DO Individual | Family Medicine | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-2273 |
| 1053637462 | REBECCA SARAH SLOGIC M.D. Individual | Pediatrics | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6356 |
| 1053831149 | DR. ANGELIQUE STACEY ANN FORRESTER MD Individual | Family Medicine | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (038) 956-2458 |
| 1285654798 | DR. DOMINIC ANTHONY DEFRANCIS M.D. Individual | Pediatrics | 420 POLIFKA DR BLDG 1042 SHAW AFB, SC 29152 (803) 895-6356 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003498825, enumerated in the NPI registry as an "individual" on April 21, 2021
The provider is located at 420 Polifka Dr Bldg 1042 Shaw Afb, Sc 29152 and the phone number is (803) 895-6951
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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