Theodore Alan Peterson, D.D.S.
NPI 1972712123ActiveIndividual· Dentist, General Practice· Los Altos, CA
Dentist, General Practice (D.D.S.) in Los Altos, California, licensed in CA, with an NPI issued in May 2007. Ultradent Products Inc reported $136.49 in payments in 2024, mostly gifts.
Overview
| NPI | 1972712123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 21281 | CA |
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)
- 2024$136.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $136.49 | 1 |
What the 2024 payments were for
- Gift$136.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 general dentists in Los Altos · All general dentists in California