DR. RONALD M. PETERSON (NPI# 1407845308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407845308 |
| Entity Type | Individual |
| Full Name | DR. RONALD M. PETERSON |
| Credential | DDS |
| Practice Address |
3226 13th Ave S Fargo ND 58103-3403 |
| Practice Telephone | 7012323379 |
| Practice Fax Number | 7012980879 |
| Mailing Telephone | 7012323379 |
| Mailing Fax Number | 7012980879 |
| Enumeration Date | 2005-10-14 |
| 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 |
1578 | ND | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | DENTAL SERVICE CORPORATIO | 901578 | 01 |
| ND | 40258 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891064226 | Ronald Gene Peterson Jr. | Chiropractor | 815 Lincoln Hwy Ste 101, Fairview Heights, IL 62208-2230 | 2011-12-13 |
| 1205143948 | Ronald James Peterson | Chiropractor | 731 S Colorado St, Lockhart, TX 78644-3103 | 2010-09-01 |
| 1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
| 1356410799 | Ronald Leon Peterson | Physical Therapist | 116 Valley View Cir, Phoenixville, PA 19460-3185 | 2006-11-07 |
| 1477533586 | Ronald Todd Peterson | Emergency Medicine | 2615 Eye St, Bakersfield, CA 93301-2006 | 2006-01-17 |
| 1891875316 | Ronald Peterson | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2006-10-17 |
| 1063592848 | Ronald Daniel Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1174614457 | Ronald Gregory Peterson | Obstetrics & Gynecology | 6569 N Charles St, Ste 307, Baltimore, MD 21204-6831 | 2006-09-28 |
| 1609980473 | Ronald M Peterson | Family Medicine | 301 Knapp St, Wolf Point, MT 59201-1826 | 2006-08-18 |
| 1609827781 | Ronald J. Peterson | Specialist | 801 Nicollet Mall, Suite 400, Minneapolis, MN 55402-2500 | 2006-05-13 |
| Street Address |
3226 13TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164165 | Carrie N Peterson | Dentist | 3226 13th Ave S, Fargo, ND 58103 | 2005-06-20 |
| 1205194933 | Nathan Aaron Zaffke | Dentist | 3226 13th Ave S, Fargo, ND 58103-3403 | 2012-05-01 |
| 1477854818 | Dr. Carrie Peterson Ddspc | Dentist | 3226 13th Ave S, Fargo, ND 58103-3403 | 2010-11-16 |
| 1699949545 | Marie Ann Moeckel | Dentist | 3226 13th Ave S, Fargo, ND 58103-3403 | 2008-04-22 |
| 1265654016 | Ronald M. Peterson, Dds, PC | Dentist | 3226 13th Ave S, Fargo, ND 58103-3403 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1174144851 | Robert A. Bond, D.d.s. | Dentist | 2851 University Dr S, Fargo, ND 58103-6029 | 2020-05-04 |
| 1225505761 | Blake Ristvedt Dental Pllc | Dentist | 520 Main Ave Ste 705, Fargo, ND 58103-1967 | 2018-11-01 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1003307182 | Arjan Majidian | Dentist | 1231 27th St S Ste B, Fargo, ND 58103-8722 | 2018-05-23 |
| 1962930073 | Austin Michael Vetter | Dentist | 1331 32nd Ave S Ste 3, Fargo, ND 58103-5989 | 2017-06-02 |
| 1326576828 | Jeffrey James Harrie | Dentist | 3525 25th St S, Fargo, ND 58104-5900 | 2017-05-27 |
| 1598203606 | Krista Johnson Dmd Pllc | Dentist | 1650 45th St S Ste 108, Fargo, ND 58103-3247 | 2017-02-09 |
| 1639548118 | Nd Dentistry PC | Dentist | 1650 45th Street South, Suite 108, Fargo, ND 58104 | 2015-09-15 |
| 1497139240 | Renee Sellers | Dentist | 3633 Lincoln Street South, Fargo, ND 58104 | 2015-07-10 |
| 1669853263 | Mark A Runyan | Dentist | 100 4th St S Ste 312, Fargo, ND 58103-1937 | 2015-06-09 |
| Find all providers in FARGO | ||||
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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.