DR. CRAIG ALBERT PETERSON (NPI# 1922128404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922128404 |
| Entity Type | Individual |
| Full Name | DR. CRAIG ALBERT PETERSON |
| Credential | D.D.S. |
| Practice Address |
1504 4th St Ne Waseca MN 56093 |
| Mailing Address |
4 Nickolay Lane Grand Marais MN 55604-5011 |
| Practice Telephone | 5078351080 |
| Practice Fax Number | 5078351184 |
| Mailing Telephone | 2183872038 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7460 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436452 | Craig Peterson | Chiropractor | 613 S Bluff Street, Twr 1, Suite 400, St George, UT 84770-3853 | 2008-07-31 |
| 1588698641 | Craig Stuart Peterson | Psychologist | 410 Arden Ave, Suite 201, Glendale, CA 91203-4006 | 2006-07-11 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1598739054 | Craig Arthur Peterson | Urology | 1550 B East Niagara Rd, Montrose, CO 81401-5027 | 2006-02-13 |
| 1114412228 | Craig Alan Peterson | Registered Nurse | 515 22nd Ave, Monroe, WI 53566-1569 | 2018-06-30 |
| 1437644903 | Craig Peterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1740650076 | Craig Peterson | Acupuncturist | 1570 N 115th St, Seattle, WA 98133-8401 | 2015-09-29 |
| 1467715474 | Craig A. Peterson | Dentist | 6226 14th Ave, Kenosha, WI 53143-4413 | 2012-06-25 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1396888640 | Craig A Peterson | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-15 |
| Street Address |
1504 4TH ST NE |
| City | WASECA |
| State | MN |
| Zip Code | 56093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013021526 | Rodney A Kolpin | Dentist | 1504 4th St Ne, Waseca, MN 56093-2721 | 2006-08-19 |
| 1871083055 | Waseca Dental Care, P.l.l.c. | Dentist | 1504 4th St Ne, Waseca, MN 56093-2721 | 2018-05-14 |
| 1518339118 | Breanna Kruckeberg | Dentist | 1504 4th St Ne, Waseca, MN 56093-2721 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
| 1124572490 | Jordan Wong | Dentist | 1000 Sw University Dr, Waseca, MN 56093 | 2016-08-04 |
| 1952649451 | Alee Services | In Home Supportive Care | 37437 Highway 13 N., Waseca, MN 56093 | 2013-01-18 |
| 1437206679 | John Max Gutfleisch | Optometrist | 1111 2nd St Ne, Waseca, MN 56093 | 2007-01-03 |
| 1275610008 | David Anthony Arnfelt | Chiropractor | 1501 North State St, Waseca, MN 56093 | 2006-11-01 |
| 1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
| 1144264938 | Timothy Jon Flor | Dentist | 1505 North State Street, Waseca, MN 56093 | 2006-06-15 |
| 1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
| 1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
| 1356792808 | Mayo Clinic Health System | Clinic/Center | 501 N State St, Waseca, MN 56093 | 2016-06-27 |
| Find all providers in zip 56093 | ||||
| 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 |
|---|---|---|---|---|
| 1538327291 | Waseca Family Dentistry, Pa | Dentist | 118 State St N, Waseca, MN 56093-2929 | 2008-05-29 |
| 1841371457 | Bryan A. Anderson | Dentist | 104 2nd Ave Se, Waseca, MN 56093-3041 | 2006-10-18 |
| 1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
| 1013021526 | Rodney A Kolpin | Dentist | 1504 4th St Ne, Waseca, MN 56093-2721 | 2006-08-19 |
| 1871083055 | Waseca Dental Care, P.l.l.c. | Dentist | 1504 4th St Ne, Waseca, MN 56093-2721 | 2018-05-14 |
| 1184956187 | Todd P. Christianson P.C. | Dentist | 118 State St N, Waseca, MN 56093-2929 | 2010-02-02 |
| 1104085380 | Todd Patrick Christianson | Dentist | 118 State St N, Waseca, MN 56093-2929 | 2008-06-03 |
| 1568543189 | Gene Williams Swain Jr. | Dentist | 104 2nd Ave Se, Waseca, MN 56093-3041 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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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.