Organization
PETERSON ORTHODONTICS LLC
Active
Organization
PETERSON ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDON R PETERSON DDS, MS (OWNER)
(402) 330-9564
Entity
Organization
Contact information
Practice address
624 N 129TH ST STE 100, OMAHA, NE 68154-6110
(402) 330-9564
(402) 330-9564
Mailing address
624 N 129TH ST STE 100, OMAHA, NE 68154-6110
(402) 330-9564
(402) 330-9564
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029018000
—
NE
Enumeration date
05/14/2025
Last updated
05/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up