Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962890608 Individual Practitioner Female Practitioner

Dr. Katherine Trawick Peterson , DDS

Dentist - General Practice • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Berkeley, CA. Practice services are available at 2344 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2344 6th St

Berkeley, CA 947102412

Telephone 5109814100
Associated Practice Facility / Clinic
🏢 Lifelong Medical Care Facility NPI 1346439817

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
76 Specialists

Practicing in Berkeley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 65026

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 057989

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Reiko Sales , RN

Registered Nurse

NPI 1013446236

Registered Nurse

Jennifer Guzman , RN

Registered Nurse - Community Health

NPI 1013876317

Registered Nurse

Vanessa Mayen , RN, NP

Nurse Practitioner - Family

NPI 1023462694

Registered Nurse, Nurse Practitioner

Alayna Liptak , APRN

Nurse Practitioner - Family

NPI 1023622115

Advanced Practice Registered Nurse

Zena Herman , FNP

Nurse Practitioner

NPI 1023668498

Family Nurse Practitioner

Brian Beachler

Family Medicine

NPI 1043715816

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 21, 2023

Registered at 2344 6TH ST, BERKELEY, CA 947102412 (Tel: 5109814100)

📍
Updated Business Mailing Address February 21, 2023

Registered at 2344 6TH ST, BERKELEY, CA 947102412 (Tel: 5109814100)

👤
Provider Name / Credentials Updated February 21, 2023

Recorded as KATHERINE PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Dentist (License #057989 in NY)

NPI Profile Active December 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2015

Registered at 300 WEST AVE, BROCKPORT, NY 144201118 (Tel: 5856373905)

📍
Updated Business Mailing Address December 02, 2015

Registered at 300 WEST AVE, BROCKPORT, NY 144201118 (Tel: 5856373905)

👤
Provider Name / Credentials Updated December 02, 2015

Recorded as KATHERINE TRAWICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2015

Dentist (License #057989 in NY)

🟢
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962890608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2015
Last Update: February 21, 2023
Sole Proprietor: No

Mailing Address

2344 6th St

Berkeley, CA 947102412

Phone: 5109814100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.