DR. DONALD C PETERSON JR. (NPI# 1417030057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417030057 |
| Entity Type | Individual |
| Full Name | DR. DONALD C PETERSON JR. |
| Credential | DDS |
| Practice Address |
501 12th Ave Suite 202 Coralville IA 52241 |
| Practice Telephone | 3193515439 |
| Practice Fax Number | 3193540491 |
| Mailing Telephone | 3193515439 |
| Mailing Fax Number | 3193540491 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
08193 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134931 | Donald P Peterson | Dentist | 11855 Holly Ln, Suite #103, Waldorf, MD 20601-3114 | 2007-04-20 |
| 1609935097 | Donald Joseph Peterson | Dentist | 1579 Hamline Ave N, Falcon Heights, MN 55108-2107 | 2006-12-08 |
| 1700809878 | Donald R Peterson II | Surgery | 4219 Buchanan Dr, Fair Oaks, CA 95628-6105 | 2006-07-26 |
| 1649206558 | Donald Thorgeir Peterson | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2006-06-23 |
| 1780678193 | Donald Peterson | Physical Therapist | 1503 Washington Ln, Augusta, KS 67010-1638 | 2005-08-31 |
| 1215939137 | Donald Leon Peterson | Optometrist | 813 Sw Highland Ave, Redmond, OR 97756-3123 | 2005-08-11 |
| 1396743548 | Donald Douglas Peterson | Urology | 408 8th St, 1st Floor, North Wilkesboro, NC 28659-4167 | 2005-07-12 |
| 1104821362 | Donald Albert Peterson | Chiropractor | 835 Highway 105, Suite A, Palmer Lake, CO 80133-9069 | 2005-06-15 |
| 1235282674 | Donald G Peterson | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 | 2007-01-19 |
| 1821159864 | Donald L. Peterson Jr. | Family Medicine | 151 Meadowcrest St, Suite C, Gretna, LA 70056-5256 | 2006-12-13 |
| Street Address |
501 12TH AVE SUITE 202 |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775126 | Jill H. Scholz | Podiatrist | 501 12th Ave, Suite 203, Coralville, IA 52241-1774 | 2006-01-23 |
| 1407334238 | Lily French | Social Worker | 501 12th Ave, Coralville, IA 52241-1774 | 2018-08-02 |
| 1487002762 | Alice Claussen | Acupuncturist | 501 12th Ave, Suite 102, Coralville, IA 52241-1774 | 2016-05-27 |
| 1639595952 | Iowa Pediatric Dental Center | Dentist | 501 12th Ave, Suite 202, Coralville, IA 52241-1774 | 2014-03-11 |
| 1083947667 | Eastern Iowa Periodontics, PC | Dentist | 501 12th Ave, Suite 202, Coralville, IA 52241-1774 | 2009-09-14 |
| 1649403296 | Susan C Puhl | Dermatology | 501 12th Ave, Suite 101, Coralville, IA 52241-1774 | 2009-08-31 |
| 1265660815 | Christina Carol Finken | Podiatrist | 501 12th Ave, Suite 203, Coralville, IA 52241-1774 | 2009-06-22 |
| 1497932842 | Jill H Scholz | Clinic/Center | 501 12th Ave, Suite 203, Coralville, IA 52241-1774 | 2008-01-29 |
| 1982883336 | Claudette J Heddens | Nurse Practitioner | 501 12th Ave, Suite 102, Coralville, IA 52241-1774 | 2007-11-01 |
| 1952500365 | Adrienne S Gunstream | Dentist | 501 12th Ave, Suite 202, Coralville, IA 52241-1774 | 2007-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681897 | The Children's Dental Center, Pllc | Dentist | 2761 Oakdale Blvd Ste 4, Coralville, IA 52241-9754 | 2020-05-21 |
| 1750485447 | Katherine Johanna Konz | Dentist | 2122 Abbie Ct, Coralville, IA 52241-9713 | 2006-09-12 |
| 1003823113 | Pediatric Dentristry of Coralville Inc | Dentist | 414 10th Ave, Ste B, Coralville, IA 52241 | 2006-08-02 |
| 1639595952 | Iowa Pediatric Dental Center | Dentist | 501 12th Ave, Suite 202, Coralville, IA 52241-1774 | 2014-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659934701 | Grimes Pediatric Dentistry P C | Dentist | 1551 Se 3rd St Ste 100, Grimes, IA 50111-8861 | 2019-04-15 |
| 1215316633 | Kaitlin Joy Hoogeveen | Dentist | 164 S Main Ave, Sioux Center, IA 51250-1536 | 2015-05-19 |
| 1760801062 | Diana Pelzer | Dentist | 1250 Se University Ave, Waukee, IA 50263-8831 | 2014-04-15 |
| 1245656800 | Iowa Pediatric Dental Center II LLC | Dentist | 5350 Kirkwood Blvd Sw, Suite 700, Cedar Rapids, IA 52404-5233 | 2014-03-06 |
| 1528483716 | Peter Joseph Stanley | Dentist | 201 Dental Science Bldg S., Iowa City, IA 52242-1001 | 2014-02-24 |
| 1821433160 | Nicholas Wade Barnard | Dentist | 4090 Westown Pkwy Ste B1, West Des Moines, IA 50266 | 2013-04-30 |
| 1962745471 | Samuel Christensen | Dentist | 2575 N Ankeny Blvd Ste 205, Ankeny, IA 50023-4710 | 2013-04-03 |
| 1477818326 | Julie Ann Smith | Dentist | 800 E 1st St Ste 2800, Ankeny, IA 50021-2077 | 2012-07-06 |
| 1043507890 | Molly Bremen | Dentist | 7600 Fleur Dr, Des Moines, IA 50321-3111 | 2011-06-30 |
| 1497067698 | Sarah Elizabeth Swenson | Dentist | 1962 1st Avenue Ne, Cedar Rapids, IA 52402-5334 | 2010-07-06 |
| Find all providers with the same taxonomy | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
Please comment or provide details below to improve the information on DR. DONALD C PETERSON JR..
| 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.