DR. PETER H. NASSER (NPI# 1922235597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922235597 |
Entity Type | Individual |
Full Name | DR. PETER H. NASSER |
Credential | DDS |
Practice Address |
9091 Ellerbe Rd Suite 500 Shreveport LA 71106-6738 |
Practice Telephone | 3188642860 |
Practice Fax Number | 3188642863 |
Mailing Telephone | 3188642860 |
Mailing Fax Number | 3188642863 |
Enumeration Date | 2009-06-22 |
Last Update Date | 2009-06-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3917 | LA | Dental Providers |
Street Address |
9091 ELLERBE RD SUITE 500 |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-6738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801870415 | Stephen M Beene | Specialist | 9091 Ellerbe Rd, Suite 200, Shreveport, LA 71106-6738 | 2005-12-06 |
1487918454 | Greg Brown, Md, LLC | Behavioral Analyst | 9091 Ellerbe Rd, Suite 200b, Shreveport, LA 71106-6738 | 2012-06-25 |
1932488525 | Gregory P Guerin | Counselor | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2011-08-12 |
1497966907 | Kyle K. Runnels | Psychiatry & Neurology | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2007-05-25 |
1689768897 | Kenneth Wayne Mouser | Dentist | 9091 Ellerbe Rd, Suite 300, Shreveport, LA 71106-6738 | 2006-10-03 |
1619937802 | John G Underwood II | Internal Medicine | 9091 Ellerbe Rd, Ste 200, Shreveport, LA 71106-6738 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
Find all providers in zip 71106 |
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 |
---|---|---|---|---|
1528674116 | Allison Haynie | Dentist | 1914 E 70th St Ste H, Shreveport, LA 71105-5312 | 2020-09-18 |
1689862260 | H. O. Blackwood, D.d.s. Apdc | Dentist | 814 Pierremont Rd, Shreveport, LA 71106-2034 | 2007-10-09 |
1871783886 | Richard T Nelson IIi | Dentist | 7878 Jefferson Paige Rd, Shreveport, LA 71119-8865 | 2007-07-26 |
1447383989 | William Clayton Cook | Dentist | 310 Carroll St, Shreveport, LA 71105-4132 | 2007-03-13 |
1124181235 | Billy Melvin Desoto | Dentist | 2515 Southside Dr, Shreveport, LA 71118-2120 | 2006-12-19 |
1073899001 | Benjamin Cole Foster | Dentist | 1914 E 70th St, Shreveport, LA 71105-5312 | 2011-10-21 |
1902014343 | Jeffrey W Silmon | Dentist | 230 Carroll St, Ste 1, Shreveport, LA 71105-4248 | 2007-05-18 |
1093923427 | Christopher C Cosse | Dentist | 230 Carroll St, Ste 1, Shreveport, LA 71105-4248 | 2007-05-18 |
1851512388 | Louisiana Orthodontic Specialists | Dentist | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2007-05-01 |
1346468469 | Ernest Cecil Farabee IIi | Dentist | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2007-04-23 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71106 |
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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.