DR. KEITH DOUGLAS PETERS (NPI# 1033197868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033197868 |
| Entity Type | Individual |
| Full Name | DR. KEITH DOUGLAS PETERS |
| Credential | DMD |
| Practice Address |
5440 Sw Westgate Dr Suite 215 Portland OR 97221-2420 |
| Practice Telephone | 5032973756 |
| Mailing Telephone | 5032973756 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D6835 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659343036 | Keith R Peters | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-02-01 |
| Street Address |
5440 SW WESTGATE DR SUITE 215 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531055 | Chris James Lampert | Dentist | 5440 Sw Westgate Dr, Suite 300, Portland, OR 97221-2420 | 2005-07-14 |
| 1366073405 | Aimee Nicole Renteria | Massage Therapist | 5440 Sw Westgate Dr, Portland, OR 97221-2420 | 2020-01-28 |
| 1821445230 | Tessie Mcduffie | Dental Hygienist | 5440 Sw Westgate Dr, #165, Portland, OR 97221-2420 | 2016-05-16 |
| 1538567169 | Renew Health and Wellness LLC | Clinic/Center | 5440 Sw Westgate Dr, Suite 100, Portland, OR 97221-2420 | 2014-12-14 |
| 1437572369 | Hearing Rehab Center West Hills LLC | Audiologist | 5440 Sw Westgate Dr, Ste 350, Portland, OR 97221-2447 | 2014-01-29 |
| 1336578665 | Kimberly Wisotzke | Psychologist | 5440 Sw Westgate Dr, Ste 175, Portland, OR 97221-2420 | 2013-11-07 |
| 1114355500 | Flourish Natural Medicine LLC | Family Medicine | 5440 Sw Westgate Dr, Ste 245, Portland, OR 97221-2420 | 2013-10-22 |
| 1477891547 | Jessica Anderson | Naturopath | 5440 Sw Westgate Dr, Suite 245, Portland, OR 97221-2420 | 2013-01-24 |
| 1104094432 | Sylvan Chiropractic Clinic, LLC | Chiropractor | 5440 Sw Westgate Dr, Suite 100, Portland, OR 97221-2420 | 2008-02-20 |
| 1790999316 | Dentistry for Children, P.C. | Dentist | 5440 Sw Westgate Dr, Suite 380, Portland, OR 97221-2420 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
| 1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
| 1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
| 1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
| 1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
| 1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
| 1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
| 1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
| 1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.