P Praxis·MD
● Active Type 1 · Individual

Marcus E Peterson, DDS

Dentist·Rupert, ID· NPI 1659474005 · Enumerated 2006 · 19 years on NPI
Peterson is 1 of 1 dentist providers in Rupert and 1 of 591 in Idaho.
NPI age
19 years
Enumerated 2006-09-07
Primary specialty
Dentist
Licensed in
OR
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
402 6th St
Rupert, ID 833501619
📞 2086507941fax 2084360735
Mailing address
794 Eastland Dr
Twin Falls, ID 833016856
📞 2087376718fax 2087345036

Specialties

  • Dentist Primary
    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...
    OR license #D8782 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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