GEOFF PETERSON (NPI# 1285076364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285076364 |
| Entity Type | Individual |
| Full Name | GEOFF PETERSON |
| Practice Address |
3751 Sw Hollywood Dr Lees Summit MO 64082-7830 |
| Practice Telephone | 8166233563 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2013025331 | MO | Dental Providers |
| Street Address |
3751 SW HOLLYWOOD DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64082-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821969 | Joy Steen | Dentist | 3751 Sw Hollywood Dr, Lees Summit, MO 64082-7830 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475357 | Core Care At Home LLC | In Home Supportive Care | 312 Southwest Greenwich Dr., Ste 184, Lees Summit, MO 64082 | 2018-01-29 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1033561030 | Kansas City Disc and Nerve Center | Chiropractor | 350 Sw Greenwich Dr., Lee's Summit, MO 64082 | 2016-07-01 |
| 1134365125 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3751 Hollywood Drive, Lees Summit, MO 64082 | 2008-12-23 |
| 1689604944 | Alicia M Bailey | Nurse Practitioner | 2325 Sw River Spring Cir, Lees Summit, MO 64082 | 2006-07-03 |
| 1407899131 | Family Care At Arbor Walk, LLC | Family Medicine | 1301 Sw Arbor Walk Blvd, Suite A, Lee's Summit, MO 64082 | 2006-06-13 |
| 1770538936 | Michelle Rene Britton-mehlisch | Family Medicine | 1301 A Arborwalk Blvd, Lees Summit, MO 64082 | 2006-05-24 |
| 1609848407 | Steven Ronsick | Internal Medicine | 741 Sw Admiral Byrd Dr, Lee's Summit, MO 64082 | 2006-02-06 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1518451426 | Karsyn Michelle Brettmann | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082 | 2018-06-15 |
| Find all providers in zip 64082 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291886 | Mary Becker | Dentist | 304 Sw Greenwich Dr, Lees Summit, MO 64082-4408 | 2019-12-04 |
| 1063943157 | Kate Stamos | Dentist | 4800 Nw Canyon Cir, Lees Summit, MO 64064-2068 | 2017-03-21 |
| 1003266966 | Lorenzo Kidd Neilsen | Dentist | 2033 Sw Sterling Dr, Lees Summit, MO 64081-4040 | 2016-06-21 |
| 1801201645 | Phillip Montoya | Dentist | 4951 Ne Goodview Cir Ste C, Lees Summit, MO 64064-1999 | 2014-06-30 |
| 1568877983 | Katherine J Oatman | Dentist | 618 Sw 3rd St Ste A, Lees Summit, MO 64063 | 2014-06-24 |
| 1225310469 | Micah L Snyder | Dentist | 3379 Ne Ralph Powell Rd, Lees Summit, MO 64064 | 2011-09-14 |
| 1497043863 | Stephanie Lauren Mullins | Dentist | 3470 Ne Ralph Powell Rd Ste C, Lees Summit, MO 64064-2336 | 2011-07-19 |
| 1275821969 | Joy Steen | Dentist | 3751 Sw Hollywood Dr, Lees Summit, MO 64082-7830 | 2011-07-14 |
| 1184863813 | Adam Flack | Dentist | 200 Se Douglas St Ste 100, Lees Summit, MO 64063-2339 | 2009-02-19 |
| 1861605867 | Edward Richard Haggerty Jr. | Dentist | 818 Nw Park Ln, Lees Summit, MO 64063-1847 | 2007-05-07 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64082 |
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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.