SCOTT T PETERSON (NPI# 1912452558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912452558 |
| Entity Type | Organization |
| Organization Name | SCOTT T PETERSON |
| Practice Address |
4216 S Mariposa Dr Gilbert AZ 85297-5224 |
| Mailing Address |
25240 Lawton Ave Loma Linda CA 92354-3541 |
| Practice Telephone | 8017102226 |
| Mailing Telephone | 8017102226 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | DR. SCOTT T PETERSON (ORTHODONTIST) |
| Authorized Official Telephone | 8017102226 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D009577 | AZ | Dental Providers |
| Street Address |
4216 S MARIPOSA DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650508 | Quick Smiles LLC. | Dentist | 2268 E Williams Field Rd Ste 118, Gilbert, AZ 85295-0756 | 2018-12-05 |
| 1801137765 | Alejandra J Fernandez Zwerman | Dentist | 1093 E Appaloosa Rd, Gilbert, AZ 85296-3028 | 2013-03-01 |
| 1144551110 | Gregory P Smith | Dentist | 4915 E Baseline Rd Ste 105, Gilbert, AZ 85234-2966 | 2010-01-14 |
| 1205011095 | Brent Tyler Robison | Dentist | 1355 S Higley Rd Ste 105, Gilbert, AZ 85296-4799 | 2007-12-31 |
| 1225250533 | Geof Glovsky | Dentist | 754 S Val Vista Dr Ste 107, Gilbert, AZ 85296-3158 | 2007-05-03 |
| 1992848063 | Salman Jaffer | Dentist | 2765 S Market St, Suite 103, Gilbert, AZ 85296-6305 | 2007-02-15 |
| 1780600304 | Robert A Macdonald | Dentist | 2550 E Guadalupe Rd Ste 103, Gilbert, AZ 85234-5114 | 2006-07-15 |
| 1437611803 | Mdbb Management LLC | Dentist | 2680 S Val Vista Dr Ste 101, Gilbert, AZ 85295-1606 | 2019-04-03 |
| 1902250368 | Arizona Smiles, P.C. | Dentist | 1400 N Gilbert Rd, Suite Z, Gilbert, AZ 85234-2328 | 2016-04-21 |
| 1710359658 | Sv Gilbert, LLC | Dentist | 3592 S Atherton Blvd, Suite 107, Gilbert, AZ 85297-7443 | 2015-10-29 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on SCOTT T PETERSON.
| 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.