DR. JESSICA BRERETON PETERKIN (NPI# 1811373350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811373350 |
| Entity Type | Individual |
| Full Name | DR. JESSICA BRERETON PETERKIN |
| Credential | DMD, MA |
| Practice Address |
13856 W Waddell Rd Ste 102 Surprise AZ 85379-3801 |
| Practice Telephone | 6235448353 |
| Mailing Telephone | 6235448353 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D009331 | AZ | Dental Providers |
| Street Address |
13856 W WADDELL RD STE 102 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918684 | Shyon Rahimzadeh | Dentist | 13856 W Waddell Rd Ste 102, Surprise, AZ 85379-3801 | 2020-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| 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 |
|---|---|---|---|---|
| 1891346003 | Abdullah Ahmad | Dentist | 13820 W Bell Rd Ste 5, Surprise, AZ 85374-3991 | 2019-09-28 |
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1629554167 | Great Smiles Dental Care | Dentist | 14800 W. Mountain View Blvd, Suite 200, Surprise, AZ 85574 | 2018-07-18 |
| 1649766452 | Keeley Nga Le | Dentist | 17081 W Greenway Rd Ste 120, Surprise, AZ 85388-9612 | 2018-07-04 |
| 1538653936 | Erin Balaban | Dentist | 15317 W Bell Rd Suite 108, Surprise, AZ 85374-4509 | 2018-06-19 |
| 1790139749 | Timothy Scott Paulson Jr. | Dentist | 15229 W Elko Dr, Surprise, AZ 85374-4469 | 2016-04-15 |
| 1679933154 | Surprise Family Dentistry | Dentist | 18775 N Reems Rd Ste 300, Surprise, AZ 85374-8647 | 2016-02-26 |
| 1447649454 | Jose E Delos Santos | Dentist | 15717 W Jenan Dr, Surprise, AZ 85379-1026 | 2015-01-14 |
| 1104231562 | Zachary Martineau | Dentist | 15341 W Waddell Rd Ste B107, Surprise, AZ 85379-5169 | 2014-06-24 |
| 1164860755 | Nicholas Stephen Netzel | Dentist | 15294 N Brookside Ln, Surprise, AZ 85374 | 2013-06-05 |
| Find all providers in SURPRISE | ||||
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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.