DR. MICHAEL DEE PETERSON (NPI# 1629078704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629078704 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DEE PETERSON |
| Credential | DDS |
| Practice Address |
10219 Parkglenn Way Ste 200 Parker CO 80138 |
| Practice Telephone | 3038402920 |
| Practice Fax Number | 3038052905 |
| Mailing Telephone | 3038402920 |
| Mailing Fax Number | 3038052905 |
| Enumeration Date | 2005-07-29 |
| 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 |
6756 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
10219 PARKGLENN WAY STE 200 |
| City | PARKER |
| State | CO |
| Zip Code | 80138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| 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 |
|---|---|---|---|---|
| 1306458740 | Mohammad Walid Omary | Dentist | 155 W Riverside Dr, Parker, AZ 85344-5221 | 2020-08-18 |
| 1477179521 | Colorado Dental Professionals, LLC | Dentist | 13075 Copperhead Trl, Parker, CO 80134-6243 | 2020-06-24 |
| 1205485612 | At Home Mobile Dental Corp. | Dentist | 18551 E Mainstreet # 103, Parker, CO 80134-4951 | 2019-09-09 |
| 1598287369 | Bond John Harman | Dentist | 19700 E Parker Square Dr Ste A, Parker, CO 80134-7300 | 2017-07-12 |
| 1902256837 | Kharis Dental, PC | Dentist | 5902 Corinth Chapel Rd, Parker, TX 75002-6445 | 2016-06-22 |
| 1588010409 | Parker Dentistry and Orthodontics, LLP | Dentist | 12947 S Parker Rd, Suite 2, Parker, CO 80134-3498 | 2016-05-10 |
| 1164803276 | Modern Dental Professionals Co PC | Dentist | 11183 S Parker Rd Unit C, Parker, CO 80134-4905 | 2015-06-15 |
| 1821422940 | Nathan Gunning | Dentist | 17805 Cottonwood Dr Unit 115, Parker, CO 80134-3952 | 2013-08-26 |
| 1215291885 | Nathaniel Conrad Cejka | Dentist | 18551 E Mainstreet, Suite 1c, Parker, CO 80134-4951 | 2012-06-28 |
| 1013288752 | Modern Dental Professionals Co, PC | Dentist | 11183 S Parker Rd, Unit C, Parker, CO 80134-4904 | 2012-01-25 |
| Find all providers in PARKER | ||||
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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.