KATIE DAWN PETERSON (NPI# 1033471263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033471263 |
| Entity Type | Individual |
| Full Name | KATIE DAWN PETERSON |
| Credential | D.D.S |
| Practice Address |
920 N Main St Mountain Grove MO 65711-1315 |
| Practice Telephone | 4179264910 |
| Practice Fax Number | 4179264399 |
| Mailing Telephone | 4179264910 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2012015429 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121152 | Katie Marie Peterson | Dietitian, Registered | 1161 Chestnut Cove Rd, Sylva, NC 28779-7246 | 2017-01-24 |
| 1821399338 | Katie J Peterson | Physical Therapist | 1443 Ashbury Ln W, Roselle, IL 60172-4703 | 2010-11-15 |
| 1477886323 | Katie Peterson | Physician Assistant | 17521 93rd Pl N, Maple Grove, MN 55311-4437 | 2009-09-10 |
| 1528119906 | Katie Lynne Peterson | Specialist/Technologist | 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2007-01-14 |
| 1477076073 | Katie Peterson | Nurse Practitioner | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2017-07-25 |
| 1235589672 | Katie Peterson | Physical Therapist | 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143 | 2016-06-16 |
| 1881065647 | Katie Van Hoof Peterson | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-19 |
| 1508265331 | Katie Marie Peterson | Nurse Practitioner | 3931 Louisiana Ave S, Suite E202, Saint Louis Park, MN 55426-5000 | 2014-08-18 |
| 1295176063 | Katie E Peterson | Advanced Practice Midwife | 5 Tampa General Circle, Suite 240, Tampa, FL 33606 | 2013-07-09 |
| 1154680569 | Katie Beth Peterson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2012-05-07 |
| Street Address |
920 N MAIN ST |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326301359 | Katie D. Peterson, Dds, PC | Dentist | 920 N Main St, Mountain Grove, MO 65711-1315 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Find all providers in zip 65711 | ||||
| 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 |
|---|---|---|---|---|
| 1851501423 | Lauren Jean Bales | Dentist | 1604 C North Main Street, Mountain Grove, MO 65711-0000 | 2007-05-23 |
| 1619040078 | Samuel E Deatherage Dmd PC | Dentist | 920 North Main, Mountain Grove, MO 65711-1315 | 2006-11-15 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1407467145 | Preston William Thomas | Dentist | 901 N Main St, Mountain Grove, MO 65711-1316 | 2020-08-16 |
| 1376088369 | Access Dental Services Lp | Dentist | 921 N Main St, Mountain Grove, MO 65711-1316 | 2016-12-29 |
| 1326301359 | Katie D. Peterson, Dds, PC | Dentist | 920 N Main St, Mountain Grove, MO 65711-1315 | 2012-06-25 |
| 1700959160 | Phillip W Strain | Dentist | 920 North Main, Mountain Grove, MO 65711-1315 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
Please comment or provide details below to improve the information on KATIE DAWN PETERSON.
| 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.