DR. DONALD JOSEPH PETERSON (NPI# 1609935097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609935097 |
| Entity Type | Individual |
| Full Name | DR. DONALD JOSEPH PETERSON |
| Credential | DDS |
| Practice Address |
1579 Hamline Ave N Falcon Heights MN 55108-2107 |
| Mailing Address |
1901 Simpson St Falcon Heights MN 55113-6145 |
| Practice Telephone | 6516468851 |
| Practice Fax Number | 6516464477 |
| Mailing Telephone | 6516449590 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10383 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134931 | Donald P Peterson | Dentist | 11855 Holly Ln, Suite #103, Waldorf, MD 20601-3114 | 2007-04-20 |
| 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 |
| 1164594537 | Donald Carl Peterson | Chiropractor | 2516 7th Ave E, Saint Paul, MN 55109-3003 | 2006-11-14 |
| Street Address |
1579 HAMLINE AVE N |
| City | FALCON HEIGHTS |
| State | MN |
| Zip Code | 55108-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780846774 | Nicholas Mark Saari | Dentist | 1271 Gibbs Ave, Falcon Heights, MN 55108-1159 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | FALCON HEIGHTS |
| Zip Code | 55108 |
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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.