NPPES file of Aug 9, 2026

John Conrad Peterson, D.D.S.

General Practice Dentistry · Oceanside, NY

John Conrad Peterson, D.D.S. is a general practice dentistry with a practice address in Oceanside, New York, and NPI 1881703700, issued on Aug 30, 2006. Check the license (New York 029836-1, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881703700
Name
John Conrad Peterson
Credential
D.D.S.
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
029836-1 NY
Self-reported in NPPES; status is on the state search
Practice location
2983 Long Beach RD, Oceanside, NY 11572
Phone
(516) 536-5777
Enumerated
Aug 30, 2006
Record last updated
Feb 18, 2026
Fax
(855) 201-3647
Medicaid ID
00304132 NY
Medicare enrollment
Enrolled (PECOS I20161228000428); accepts Medicare assignment
Medical or professional school
Columbia University College Of Dental Medicine, 1972
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify John Conrad Peterson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 029836-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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John Conrad Peterson among 7,828 general practice dentistry records in New York

John Conrad Peterson, D.D.S. is one of 7,828 general practice dentistry records with a practice address in New York. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 65% newer
  • In a Medicare fileNo · 60% of these records are
  • In the CMS Doctors and Clinicians fileYes · under 1% of these records are
  • Graduated1972 · median 2004 among the 46 with a school on file
  • Record last updated2026 · 79% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

13 general practice dentistry records list a practice address in Oceanside

They are 13 of the 1,093 NPPES records with a practice address in Oceanside, and 7,828 general practice dentistry records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Jay Ascher, D.D.S.Oceanside, NY 115721063597060
  2. Joel Bachman, DDSOceanside, NY 115721477684876
  3. Michael Bonasera, DDSOceanside, NY 115721083711444
  4. James De Leonardis, DDSOceanside, NY 115721932288099
  5. Asher Diamond, DDSOceanside, NY 115721386903870
  6. Neha Khan, DMDOceanside, NY 115721902520463
  7. Ian Lerner, D.D.S.Oceanside, NY 115721861645954
  8. Harry Raff, D.M.DOceanside, NY 115721447593579

Common questions

What is John Conrad Peterson, D.D.S.'s NPI number?

John Conrad Peterson, D.D.S.'s National Provider Identifier (NPI) is 1881703700, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is John Conrad Peterson, D.D.S. located?

The NPPES record lists a practice address at 2983 Long Beach RD, Oceanside, NY, 11572. Phone: (516) 536-5777. Providers update this record themselves, so call before visiting.

How can I verify John Conrad Peterson, D.D.S.'s license?

NPPES lists New York license number 029836-1, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.