DR. ROBERT MICHAEL PETERSON JR. (NPI# 1295006419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295006419 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MICHAEL PETERSON JR. |
| Credential | D.D.S., M.S |
| Practice Address |
747 W. Devon Park Ridge IL 60068 |
| Practice Telephone | 8476982200 |
| Practice Fax Number | 8476986564 |
| Mailing Telephone | 8476982200 |
| Mailing Fax Number | 8476986564 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021001675 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1255605911 | Robert Dennis Peterson | Acupuncturist | 1214 S Alma St, #5, San Pedro, CA 90731-3949 | 2012-02-28 |
| 1871822361 | Robert Curt Peterson | Psychologist | 5041 Warm Springs Rd Ste C, Columbus, GA 31909-6938 | 2009-12-14 |
| 1285849067 | Robert Kenneth Peterson | Licensed Practical Nurse | 5979 Renner Rd, Columbus, OH 43228-9588 | 2007-05-14 |
| 1467581025 | Robert Jason Peterson | Preventive Medicine | 1614 Wrightstown Rd, Newtown, PA 18940-2814 | 2007-03-02 |
| 1437294923 | Robert Schaefer Peterson | Psychologist | 865 Hilltop Road, Erie, PA 16509-2153 | 2007-02-21 |
| 1518010636 | Robert Lee Peterson | Case Manager/Care Coordinator | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-01-19 |
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1982768040 | Robert James Peterson | Optometrist | 4306 W Crystal Lk Road, Mchenry, IL 60050-4294 | 2006-12-21 |
| 1104922491 | Robert G Peterson | Specialist | 24910 Las Brisas Rd Ste 121, Murrieta, CA 92562-4035 | 2006-09-15 |
| Street Address |
747 W. DEVON |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1730361791 | Westfallen Orthodontics, P.C. | Dentist | 137 Vine Ave, Park Ridge, IL 60068-4139 | 2007-12-02 |
| 1740290287 | Paul A Difranco Jr. | Dentist | 511 W Talcott Rd, Park Ridge, IL 60068-5338 | 2006-08-08 |
| 1174792170 | Sven Christer Gartner | Dentist | 101 S Washington Ave, #105, Park Ridge, IL 60068-4200 | 2008-02-22 |
| 1992850697 | Gartner Orthodontics, Ltd. | Dentist | 101 S Washington Ave, #105, Park Ridge, IL 60068-4200 | 2007-01-24 |
| 1184793960 | Stephen M Fisher | Dentist | 74 Pascack Rd, Suite 11, Park Ridge, NJ 07656-1942 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
| 1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
| 1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.