John Robert Petersen, DDS
NPI 1508422411ActiveIndividual· Dentist, General Practice· Eagan, MN
Dentist, General Practice (DDS) in Eagan, Minnesota, licensed in MN, with an NPI issued in May 2019. Envista Holdings Corporation was the largest of 2 companies reporting payments in 2025, $69.66 in all, mostly food and beverage.
Overview
| NPI | 1508422411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 15, 2019 |
| Last updated in NPPES | May 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D13993 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$69.66 · 2 payments from 2 companies
- 2024$23.68 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Envista Holdings Corporation | $49.01 | 1 |
| Dentsply Sirona Inc | $20.65 | 1 |
What the 2025 payments were for
- Food and Beverage$69.66 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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