DR. PETER LOREN CARLSON (NPI# 1881822104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881822104 |
| Entity Type | Individual |
| Full Name | DR. PETER LOREN CARLSON |
| Credential | D.D.S |
| Practice Address |
1201 N Stonewall Ave Suite 206 Oklahoma City OK 73117-1214 |
| Mailing Address |
17032 Woodvine Dr Edmond OK 73012-7911 |
| Practice Telephone | 4052714441 |
| Practice Fax Number | 4052711134 |
| Mailing Telephone | 4055090361 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
343 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1710014683 | Peter Gustav Carlson | Marriage & Family Therapist | 23210 Crenshaw Blvd Ste 250, Torrance, CA 90505-3180 | 2007-02-27 |
| 1548519168 | Peter Jonathan Carlson | Emergency Medicine | 6431 Fannin St, Houston, TX 77030 | 2012-08-29 |
| 1295062735 | Peter Carlson | Behavioral Analyst | 137 Kentucky Ave, Pasadena, MD 21122-5400 | 2009-11-04 |
| Street Address |
1201 N STONEWALL AVE SUITE 206 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557452 | Tim R Fagan | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2005-06-08 |
| 1538778840 | Allison Brewer Dinse | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1922625813 | Amanda Stephanie Akkari | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1275159162 | Katherine Ann Gamble | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1255957023 | Andrew Lee Benjamin Jr. | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1295355337 | Gabriel Duffy | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-18 |
| 1558981829 | Shawn Moffett | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-16 |
| 1750933305 | Schuyler Allison Pracht | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-14 |
| 1801458385 | Jeremiah Aigbedion | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-03 |
| 1396307104 | Kathleen Alexis Higgins | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927085 | Justin Pisano | Dentist | 429 Nw 11th St, Apt 6, Oklahoma City, OK 73103-3927 | 2015-11-19 |
| 1558776989 | Daniel Szalay | Dentist | 1201 N Stonewall Ave Ste 206, Oklahoma City, OK 73117-1214 | 2014-06-24 |
| 1649690025 | Andrew Mcgarry | Dentist | 10900 Hefner Pointe Dr Ste 204, Oklahoma City, OK 73120 | 2014-04-23 |
| 1538391214 | Mayflower Oral and Maxillofacial Surgery Pllc | Dentist | 5600 N May Ave, Suite 250, Oklahoma City, OK 73112-3973 | 2009-08-14 |
| 1962523100 | University Oral & Maxillofacial Surgeons | Dentist | 1201 North Stonewall Avenue, Oklahoma City, OK 73117 | 2007-04-03 |
| 1649313206 | Anil K Kashyap | Dentist | 920 Stanton L Young Blvd Dept, Wp-2140, Oklahoma City, OK 73104-5036 | 2007-02-14 |
| 1497894604 | Zeneida G Vasquez Dds PC | Dentist | 1224 Sw 104th St, Suite B, Oklahoma City, OK 73139-3020 | 2007-02-05 |
| 1073681789 | James Andrew Wendelken | Dentist | 3727 Nw 63 Street, Suite 300, Oklahoma City, OK 73116 | 2006-12-01 |
| 1043384357 | William M. Croom | Dentist | 1201 N Stonewall Ave # Dcsb206, Oklahoma City, OK 73117-1214 | 2006-11-20 |
| 1841371010 | Michael Duffy | Dentist | 1201 N Stonewall Ave Ste 230, Oklahoma City, OK 73117 | 2006-10-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
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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.