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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
60387 | KS | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KS STATE DENTAL LICENSE | 60387 | 01 |
KS | 200420170B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
1901 W 21ST ST N |
City | WICHITA |
State | KS |
Zip Code | 67203-2106 |
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 |
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 |
Find all providers in zip 67203 |
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 |
---|---|---|---|---|
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 |
Find all providers in WICHITA |
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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.