DR. STEVEN D. PETERSON (NPI# 1164599791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164599791 |
| Entity Type | Individual |
| Full Name | DR. STEVEN D. PETERSON |
| Credential | D.D.S., M.S. |
| Practice Address |
202 S Gammon Rd Ste. 150 Madison WI 53717-1400 |
| Practice Telephone | 6086649500 |
| Practice Fax Number | 6086649566 |
| Mailing Telephone | 6086649500 |
| Mailing Fax Number | 6086649566 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3613-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992144497 | Steven Peterson | Dentist | 2203 W. University Dr, Denton, TX 76201 | 2013-06-18 |
| 1083774897 | Steven H Peterson | Specialist | 691 Pauline Ct, Sonora, CA 95370-5216 | 2006-12-11 |
| 1689751885 | Steven Joseph Peterson | Optometrist | 505 State Street, Tracy, MN 56175-1539 | 2006-11-01 |
| 1891719829 | Steven Peterson | Dentist | 3001 Henderson Dr Ste F, Cheyenne, WY 82001-5840 | 2006-07-26 |
| 1730113317 | Steven Warren Peterson | Surgery | 1315 Waters Edge Dr, Suite # 107, Granbury, TX 76048-1300 | 2006-07-10 |
| 1659331320 | Steven Peterson | Optometrist | 7090 Parkway Dr, La Mesa, CA 91942-1596 | 2006-03-25 |
| 1295737781 | Steven Lamar Peterson I | Chiropractor | 7705 Wadsworth Blvd, Ste. G, Arvada, CO 80003-2144 | 2005-08-15 |
| 1942638192 | Steven Peterson | Counselor | 995 E 1100 N, American Fork, UT 84003-3226 | 2013-10-25 |
| 1639417124 | Steven K Peterson | Physician Assistant | 704 N 3rd St, Plainview, NE 68769-2047 | 2013-01-18 |
| 1306130059 | Steven Michael Peterson | Emergency Medicine | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2011-05-29 |
| Street Address |
202 S GAMMON RD STE. 150 |
| City | MADISON |
| State | WI |
| Zip Code | 53717-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770820755 | Kevin James Knutson | Dentist | 202 S Gammon Rd, Suite 150, Madison, WI 53717-1400 | 2013-01-10 |
| 1134327273 | Theresa L. Juhlin | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2007-07-10 |
| 1275667149 | Orthodontic Specialists of Madison | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2007-03-15 |
| 1033242797 | William F. Bird | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| 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 |
|---|---|---|---|---|
| 1154555282 | Orthodontic Care of Georgia | Dentist | 1690 Eatonton Rd, Madison, GA 30650-4628 | 2009-05-04 |
| 1336382845 | James Russell Durham | Dentist | 7559c Highway 72 West, Suite 105, Madison, AL 35758-8812 | 2009-04-14 |
| 1851507248 | William Koenig | Dentist | 2040 Hubbard Rd, Madison, OH 44057-2566 | 2007-05-15 |
| 1497809537 | Marion Garr Doyle | Dentist | 624 W Due West Ave, Madison, TN 37115-4402 | 2007-01-23 |
| 1942358635 | Damian O. Fennig | Dentist | 5520 Medical Cir, Madison, WI 53719-1226 | 2007-01-08 |
| 1760559025 | Kenneth Noel Reed Jr. | Dentist | 451 Pebble Creek Drive, Madison, MS 39110 | 2006-11-29 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1902919012 | James Edwin Hatcher | Dentist | 581 Hughes Rd, Madison, AL 35758 | 2006-08-16 |
| 1821008756 | James E Paschal Jr. | Dentist | 153 W Washington St, Madison, GA 30650-1218 | 2006-08-09 |
| 1588611941 | David T Allen | Dentist | 7007 Old Sauk Rd, Suite 101, Madison, WI 53717-2307 | 2006-05-30 |
| Find all providers in MADISON | ||||
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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.