DR. DANIEL CHARLES PETERSON (NPI# 1164980447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164980447 |
| Entity Type | Individual |
| Full Name | DR. DANIEL CHARLES PETERSON |
| Credential | DDS, MSD |
| Practice Address |
1550 30th Ave S Moorhead MN 56560-5150 |
| Practice Telephone | 2182361322 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D14144 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1477951291 | Daniel Peterson | Registered Nurse | 2182 Antrim Dr, Davison, MI 48423-8438 | 2014-12-10 |
| 1972630564 | Daniel L Peterson | Internal Medicine | 926 Incline Way, Unit 150, Incline Village, NV 89451-7933 | 2007-02-28 |
| 1780624387 | Daniel P Peterson | Physical Therapist | 12729 E Washington Rd Ste 2, Reese, MI 48757-9722 | 2006-06-08 |
| 1902883846 | Daniel J Peterson | Internal Medicine | 345 E Mount Airy Ave, Philadelphia, PA 19119-1114 | 2005-12-30 |
| 1285626812 | Daniel B Peterson | Family Medicine | 5301 Vernon Ave S, Edina, MN 55436-2303 | 2005-08-19 |
| 1124503677 | Daniel Carl Peterson | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-10-01 |
| 1295211878 | Daniel Peterson | Physical Therapist | 8200 Bryan Dairy Rd Ste 150, Largo, FL 33777-1355 | 2018-07-17 |
| 1871005637 | Daniel Cole Peterson | Pharmacist | 2046 Ne Waldo Rd, Gainesville, FL 32609-8975 | 2017-11-01 |
| Street Address |
1550 30TH AVE S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174636534 | Jeffrey C. Harvey | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2006-08-17 |
| 1720508179 | Matthew S. Ames D.d.s., M.s. Pllc. | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2017-06-26 |
| 1649464850 | Jeffrey C, Harvey D.d.s., Sc.d., P.a. | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174636534 | Jeffrey C. Harvey | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2006-08-17 |
| 1720508179 | Matthew S. Ames D.d.s., M.s. Pllc. | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2017-06-26 |
| 1649464850 | Jeffrey C, Harvey D.d.s., Sc.d., P.a. | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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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.