PETER DANIEL CARLESIMO (NPI# 1902898307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902898307 |
| Entity Type | Individual |
| Full Name | PETER DANIEL CARLESIMO |
| Credential | DDS |
| Practice Address |
910 Ne 82nd St Vancouver WA 98665-8847 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE61007889 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D9514 | OR | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
11681 | MD | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8237 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2420 Nw Professional Dr Ste 150, Corvallis, OR 973303977 | 8554336825 | |
| 3400 W Eisenhower Blvd, Loveland, CO 805379178 | 9706692853 | 9706690536 |
| Street Address |
910 NE 82ND ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-8847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524857 | Ariel Rachel Park | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2019-08-22 |
| 1306399233 | Christopher Allen Primley | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2016-07-27 |
| 1720484801 | Scott Rooker | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2014-11-17 |
| 1205984655 | Susan Ahlene Nordstrom | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2007-01-08 |
| 1740345297 | James Byrne Long | Dentist | 910 Ne 82nd St, Vancouver, WA 98665 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| 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 |
|---|---|---|---|---|
| 1417565672 | Gideon Michael Arnett | Dentist | 811 Ne 112th Ave Ste 100, Vancouver, WA 98684-5115 | 2020-07-14 |
| 1144787342 | Alfordable Dental,llc | Dentist | 13720 Ne 28th St Ste A, Vancouver, WA 98682-8289 | 2019-02-23 |
| 1184139933 | Lalee Chialong Lo | Dentist | 918 Se 164th Ave Ste 200, Vancouver, WA 98683-9603 | 2017-12-01 |
| 1861918872 | Lara Kacherian | Dentist | 8720 Ne Centerpointe Dr Ste 221, Vancouver, WA 98665-1162 | 2017-08-21 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1154874196 | Monica Calderon, Dmd Ps | Dentist | 2501 Ne 134th St Ste 202, Vancouver, WA 98686-3028 | 2016-07-26 |
| 1043665375 | Garden City Dental | Dentist | 8311 Ne Highway 99 Ste E, Vancouver, WA 98665-8877 | 2016-04-23 |
| 1033465018 | Julia Gourley | Dentist | 13510 Ne 84th St Ste 105, Vancouver, WA 98682-3092 | 2012-07-27 |
| 1306103106 | Lenna Jeanne Ostenson | Dentist | 2702 Ne 78th St Ste 104, Vancouver, WA 98665-0664 | 2012-04-18 |
| 1376814178 | Dane Andersen | Dentist | 2415 Ne 134th St Ste 307, Vancouver, WA 98686-3029 | 2012-01-25 |
| Find all providers in VANCOUVER | ||||
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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.