Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609285774 Individual Practitioner Female Practitioner

Dr. Kathryn Elizabeth Peterschmidt , DMD

Dentist - General Practice • Keizer, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Peterschmidt, DMD is a registered healthcare professional specializing in Dentist - General Practice in Keizer, OR. Practice services are available at 6395 KEIZER STATION BLVD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6395 Keizer Station Blvd Ne
#101

Keizer, OR 973032305

Telephone 9712672033

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keizer, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Keizer, OR (1994 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10093

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

1 Associated Practitioners
Dr. Jori Grady , DMD

Dentist - General Practice

NPI 1710455167

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2015

Registered at 6395 KEIZER STATION BLVD NE, #101, KEIZER, OR 973032305 (Tel: 9712672033)

📍
Updated Business Mailing Address November 23, 2015

Registered at 151 W WASHINGTON ST., STAYTON, OR 97383 (Tel: 5037692788)

👤
Provider Name / Credentials Updated November 23, 2015

Recorded as KATHRYN PETERSCHMIDT, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Dentist (License #D10093 in OR)

🟢
Initial NPI Registration & Enumeration August 03, 2014

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: 1609285774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2014
Last Update: November 23, 2015
Sole Proprietor: No

Mailing Address

151 W Washington St.

Stayton, OR 97383

Phone: 5037692788

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.