Dr. Dean Grant Peterson , MD
General Practice • Las Vegas, NV
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dean Peterson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dean Peterson, MD was a registered General Practice practicing in Las Vegas, NV. Throughout an active medical career spanning 11 years, Dr. Peterson provided care at the practice location at 3021 WATERSIDE CIR until profile deactivation on 2023-10-25.
Practice Location & Contact Primary Location
3021 Waterside Cir
Las Vegas, NV 891172277
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Las Vegas, NV
Practicing in Las Vegas, NV (89 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 25, 2023
NPI status registered as active in NPPES database
Registered at 3021 WATERSIDE CIR, LAS VEGAS, NV 891172277 (Tel: 7027338146)
Registered at 3021 WATERSIDE CIR, LAS VEGAS, NV 891172277 (Tel: 7027338146)
Recorded as DEAN PETERSON, M.D.
General Practice (License #4973 in NV)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3021 Waterside Cir
Las Vegas, NV 891172277
Phone: 7027338146
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