DR. AIDA N. PETERSON (NPI# 1922140292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922140292 |
| Entity Type | Individual |
| Full Name | DR. AIDA N. PETERSON |
| Credential | D.D.S.,M.S. |
| Practice Address |
16801 Newburgh Rd Suite 105 Livonia MI 48154-1606 |
| Practice Telephone | 7349536660 |
| Practice Fax Number | 7349531093 |
| Mailing Telephone | 7349536660 |
| Mailing Fax Number | 7349531093 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13799 | MI | Dental Providers |
| Street Address |
16801 NEWBURGH RD SUITE 105 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719522 | Jason Christopher Lawlor | Chiropractor | 16801 Newburgh Rd, Suite 109, Livonia, MI 48154-1606 | 2006-02-14 |
| 1003277799 | Victoria Schmidt | Behavioral Analyst | 16801 Newburgh Rd, Suite 106, Livonia, MI 48154-1606 | 2016-03-09 |
| 1639530256 | Laura Plassey | Behavioral Analyst | 16801 Newburgh Rd, Suite # 6, Livonia, MI 48154-1606 | 2016-03-09 |
| 1942620612 | Tiffany Fouch | Social Worker | 16801 Newburgh Rd, Suite 111, Livonia, MI 48154-1606 | 2014-04-22 |
| 1942568605 | Reena E Naami | Behavioral Analyst | 16801 Newburgh Rd, Suite 106, Livonia, MI 48154-1606 | 2012-05-01 |
| 1306166160 | Branches Counseling Pllc | Counselor | 16801 Newburgh Rd, Suite 109, Livonia, MI 48154-1606 | 2010-06-03 |
| 1003147992 | Angela C Brewer | Massage Therapist | 16801 Newburgh Rd, Suite 114, Livonia, MI 48154-1606 | 2010-01-18 |
| 1285962431 | Phyllis S Williams | Massage Therapist | 16801 Newburgh Rd, Suite 114, Livonia, MI 48154-1606 | 2009-11-30 |
| 1356679088 | Tomica D Blake | Massage Therapist | 16801 Newburgh Rd, Suite 114, Livonia, MI 48154-1606 | 2009-11-18 |
| 1982847398 | Victoria Lou Winebarger | Counselor | 16801 Newburgh Rd, Suite 109, Livonia, MI 48154-1606 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
| 1255313433 | Root Canal Specialty Associates | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2005-11-15 |
| 1063821718 | Christopher Mcwatters | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2014-08-07 |
| 1104858729 | Robert A. Coleman | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-06 |
| 1992737514 | Sandra A. L. Laturno | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-06 |
| 1235161860 | Mayank D Vora | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-06 |
| 1144252768 | Mary K Mcneight | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-06 |
| 1679505200 | John P Braud Jr. | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-06 |
| 1447289632 | Kimberly K Melegari | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-01 |
| 1063441251 | George Moricz | Dentist | 31620 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-07-01 |
| Find all providers in LIVONIA | ||||
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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.