DR. MATHEW C PETERSEN (NPI# 1215249917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215249917 |
| Entity Type | Individual |
| Full Name | DR. MATHEW C PETERSEN |
| Credential | DDS |
| Practice Address |
2001 E Lohman Ave Ste 121 Las Cruces NM 88001-3167 |
| Practice Telephone | 5755274746 |
| Mailing Telephone | 5755274746 |
| Mailing Fax Number | 5755247646 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2011-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD3330 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326445198 | Mathew James Petersen | Specialist/Technologist | 10214 Musick Rd, Saint Louis, MO 63123-5066 | 2014-11-21 |
| 1427467208 | Mathew Petersen | Technician/Technologist | 409 S 8th St, Boise, ID 83702-7142 | 2014-08-06 |
| Street Address |
2001 E LOHMAN AVE STE 121 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371171 | Brian J Gilbert | Dentist | 2001 E Lohman Ave, Suite 121, Las Cruces, NM 88001-3167 | 2006-01-23 |
| 1013277029 | Timothy T Dillen | Physical Therapy Assistant | 2001 E Lohman Ave, Suite 110-201, Las Cruces, NM 88001-3167 | 2012-05-23 |
| 1487943601 | Julie Ann Villalba | Hearing Instrument Specialist | 2001 E Lohman Ave, Las Cruces, NM 88001-3167 | 2011-03-29 |
| 1760771984 | Sara Maria Gonzales | Hearing Instrument Specialist | 2001 E Lohman Ave, Las Cruces, NM 88001-3167 | 2011-03-29 |
| 1346456514 | Bright Star Dental | Dentist | 2001 E Lohman Ave, Suite 121, Las Cruces, NM 88001-3167 | 2007-05-15 |
| 1639200918 | Sandia Hearing Aids | Hearing Instrument Specialist | 2001 E Lohman Ave, Ste. #134, Las Cruces, NM 88001-3167 | 2007-03-08 |
| 1366582876 | Zia Health Care Inc | Durable Medical Equipment & Medical Supplies | 2001 E Lohman Ave, Suite 107, Las Cruces, NM 88001-3198 | 2007-02-07 |
| 1538248026 | Michael Leroy English | Optometrist | 2001 E Lohman Ave, Suite 130, Las Cruces, NM 88001-3167 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
| 1114418704 | Narek Akopyan | Dentist | 3340 Rinconada Blvd Ste 2, Las Cruces, NM 88011-7194 | 2018-05-20 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1508397555 | Debbie L Ashida, Dds PC | Dentist | 1001 E Boutz Rd, Las Cruces, NM 88001-4207 | 2017-03-22 |
| 1841602455 | Howard M. Achen, Dds | Dentist | 225 E Idaho Ave Ste 14, Las Cruces, NM 88005-3241 | 2014-05-30 |
| 1972936235 | Children's Dental At Sonoma | Dentist | 3340 Rinconada Blvd, Suite 2b, Las Cruces, NM 88011 | 2013-08-09 |
| 1144513508 | Familia Dental Las Cruces LLC | Dentist | 1025 El Paseo Rd, Las Cruces, NM 88001-6029 | 2011-05-18 |
| 1841517505 | Falon Dean Waisath | Dentist | 530 N Telshor Blvd Ste A, Las Cruces, NM 88011-8243 | 2010-04-21 |
| 1750531091 | Ortiz Family Dental, LLC | Dentist | 2141 Hammerand Ct Ste B, Las Cruces, NM 88011-8250 | 2008-09-23 |
| 1366690216 | Affordable Dental LLC | Dentist | 1423 Don Roser Dr., Las Cruces, NM 88011-4515 | 2008-09-04 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on DR. MATHEW C PETERSEN.
| 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.