JENNIFER M PETERMAN


Address: 1901 W 21st St N, Wichita, KS 67203-2106
Phone: 3168322838

JENNIFER M PETERMAN (NPI# 1962569277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962569277
Entity Type Individual
Full Name JENNIFER M PETERMAN
Credential DDS
Practice Address 1901 W 21st St N
Wichita
KS 67203-2106
Mailing Address 2221 E Bijou St
Colorado Springs
CO 80909-8008
Practice Telephone 3168322838
Practice Fax Number 3168329530
Mailing Telephone 7195761850
Enumeration Date 2007-01-03
Last Update Date 2019-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
60387 KS Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS KS STATE DENTAL LICENSE 60387 01
KS 200420170B 05

Other Providers JENNIFER PETERMAN

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1912466442 Jennifer Peterman Registered Nurse 1110 Greenmount Rd, Haddonfield, NJ 08033-3521 2019-03-14
1578763074 Jennifer L Peterman Occupational Therapy Assistant 16913 E Stanford Ave, Aurora, CO 80015-1915 2007-07-23
1205190758 Jennifer Peterman Specialist 2277 Goshen Tpke, Middletown, NY 10941-4032 2012-06-29
1255602371 Jennifer L Peterman Dietitian, Registered 407 S Nelson St, Greenville, MI 48838-2138 2012-01-20

Office Location

Street Address 1901 W 21ST ST N
City WICHITA
State KS
Zip Code 67203-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811924228 Jennifer A Simmonds Optometrist 1901 W 21st St N, Wichita, KS 67203-2106 2006-06-28
1649889304 Joseph Michael Gasser Dentist 1901 W 21st St N, Wichita, KS 67203-2106 2020-07-29
1356721229 Sheena Wood Dentist 1901 W 21st St N, Wichita, KS 67203-2106 2015-06-04
1598010266 Vuong Nguyen Dentist 1901 W 21st St N, Wichita, KS 67203-2106 2012-07-19
1508134289 Collin Vaughn Craig Reid Dentist 1901 W 21st St N, Wichita, KS 67203 2011-12-08
1487933479 Christopher H Tran Optometrist 1901 W 21st St N, Wichita, KS 67203-2106 2011-08-09
1336434620 Sheila M Brown Dentist 1901 W 21st St N, Wichita, KS 67203-2106 2011-06-14
1396050159 Lori Lynne Barton Optometrist 1901 W 21st St N, Wichita, KS 67203-2106 2010-08-17
1962525592 Ryan Derek Louden Dentist 1901 W 21st St N, Wichita, KS 67203-2106 2007-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194372342 Briana Renea Drury Occupational Therapist Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 2019-08-22
1568991826 Kansas Transportation Services Transportation Broker 3536 W 2nd St N, # 503, Wichita, KS 67203 2017-06-08
1326590621 Katherine Renee Newby Marriage & Family Therapist 930 W Douglas Ave # G, Wichita, KS 67203 2016-11-03
1376093211 Stellar Home Health LLC Home Health 2525 W 13th St North, Suite 300, Wichita, KS 67203 2016-10-04
1972966497 David Duane Sorrick Marriage & Family Therapist 1999 North Amidon, Wichita, KS 67203 2016-04-01
1285004978 M. Sullivan Chiropractic LLC Chiropractor 728 W. Douglas Ave, Wichita, KS 67203 2015-10-07
1740664648 Miketo Michelle Kirk Counselor 2050 West 11th St., Wichita, KS 67203 2015-07-10
1063895209 Let's Talk Therapy and Supervision Inc Social Worker 2458 W Newell St, Wichita, KS 67203 2015-07-07
1396147096 Heather Ann Shelton Counselor 1919 N Amidon Ave Ste 108, Wichita, KS 67203 2014-09-24
1538568456 Patricia D. Riley Social Worker 1900 N Amidon Ave Ste 210, Wichita, KS 67203 2014-08-15
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417435330 Joseph P Houlik, Dds, LLC Dentist 2759 N Tyler Rd, Wichita, KS 67205-8711 2018-08-02
1982199790 Ashton N Pargman Dentist 8150 E Douglas Ave Ste 10, Wichita, KS 67206-2362 2018-06-25
1801330980 Smile Connections Family Dental, L.L.C. Dentist 250 N Tyler Rd, Wichita, KS 67212-3753 2016-12-08
1295286474 Davis & Dold Dental, LLC Dentist 7570 W 21st St N Ste 1050b, Wichita, KS 67205-1772 2016-10-21
1194173955 Kati Irene Beam Dentist 2222 N Greenwich Rd Ste 400, Wichita, KS 67226-8252 2016-06-01
1942662580 Eric S. Farmer, Dds, P.a. Dentist 7520 W Village Cir, Wichita, KS 67205-9362 2016-03-23
1528424702 Parklane Dental Pa Dentist 980 S Oliver St, Wichita, KS 97218-3216 2016-01-04
1053659508 Nguyen Dmd Pa Dentist 9415 E Harry St Ste 606, Wichita, KS 67207-5082 2013-01-17
1083992655 Kristyn Leanne Barker Dentist 2046 N Oliver Ave, Wichita, KS 67208-2503 2011-07-29
1336427582 Wichita State University Dentist 2838 N. Oliver, Wichita, KS 67220-0157 2011-07-21
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City WICHITA
Zip Code 67203

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Dataset Information

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.

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