DR. MARK B. PETERSON (NPI# 1356326706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356326706 |
Entity Type | Individual |
Full Name | DR. MARK B. PETERSON |
Credential | D.D.S. |
Practice Address |
2521 Stockton Blvd Sacramento CA 95817-2207 |
Practice Telephone | 9167345408 |
Practice Fax Number | 9167341299 |
Mailing Telephone | 9167345408 |
Mailing Fax Number | 9167341299 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
23361 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164069696 | Mark Alan Peterson | In Home Supportive Care | 5870 Nw 54th Ct, Johnston, IA 50131-1418 | 2019-12-03 |
1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
1780877258 | Mark A. Peterson | Counselor | 7322 Scenic Oaks Cir, Austin, TX 78745-5217 | 2007-08-19 |
1871702076 | Mark Clayton Peterson | Dentist | 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 | 2007-05-22 |
1558481366 | Mark Theodore Peterson | Specialist | 5712 Newburg Rd, Rockford, IL 61108-6707 | 2007-03-29 |
1073608170 | Mark A Peterson | Dentist | 7740 Bay St, Suite # 1, Sebastian, FL 32958-3427 | 2006-10-04 |
1689782864 | Mark L Peterson | Dentist | 127 1/2 E Short St, Rigby, ID 83442-1422 | 2006-08-28 |
1528013661 | Mark Edward Peterson | Dentist | 2440 Gaynor Nw, Grand Rapids, MI 49544-1830 | 2006-05-24 |
1699763607 | Mark Delano Peterson | Orthopaedic Surgery | 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 | 2005-10-12 |
1477551836 | Mark Dean Peterson | Chiropractor | 5406 Alderson St, Schofield, WI 54476-2264 | 2005-07-11 |
Street Address |
2521 STOCKTON BLVD |
City | SACRAMENTO |
State | CA |
Zip Code | 95817-2207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548267867 | Robert David Lyons | Dentist | 2521 Stockton Blvd, Dental Clinic, Glassrock Building, Sacramento, CA 95817-2207 | 2005-07-01 |
1831798636 | Cynthia A Steele | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2020-10-22 |
1679118095 | Rodrigo Garcia Almirol Jr. | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-11-08 |
1487115291 | Diana Yasmin Arellano | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-03-26 |
1609335462 | Julia Grissinger | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-03-19 |
1659880177 | Nogah Hannah Nativ | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-09-27 |
1528598026 | Megan Brown | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-06-16 |
1477083533 | Jessica Pietrowski | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-06-12 |
1952836058 | Farrukh Rasool Virani | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817-2207 | 2017-04-26 |
1710412036 | Lindsay Olinde | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd, Ste. 7200, Sacramento, CA 95817-2207 | 2017-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
Find all providers in zip 95817 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710176086 | Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation | Dentist | 3000 L St Ste 205, Sacramento, CA 95816-5248 | 2007-10-23 |
1205046299 | Jeffrey Yngve Nordlander | Dentist | 6409 Folsom Blvd # 2, Sacramento, CA 95819-4620 | 2007-05-22 |
1831212562 | Daesoon Kim | Dentist | 1724 Professional Dr, Sacramento, CA 95825-2105 | 2007-04-09 |
1780702480 | Herlin Kaur Dyal | Dentist | 6409 Folsom Blvd, Suite #2, Sacramento, CA 95819-4620 | 2007-03-27 |
1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
1538188016 | Jeffrey G Light | Dentist | 2650 21st St Ste 3, Sacramento, CA 95818-2539 | 2006-07-18 |
1811241664 | Ronald Robert Larsen | Dentist | 1870 Avondale Ave, Suite 5, Sacramento, CA 95825-1388 | 2012-11-01 |
1982855169 | Diana Caroline Fat | Dentist | 2131 Capitol Ave, Suite 300, Sacramento, CA 95816-5755 | 2008-10-06 |
1245440957 | Brock Hinton | Dentist | 6409 Folsom Blvd, Sacramento, CA 95819-4620 | 2007-05-23 |
1982704151 | Michael A. Mikitka | Dentist | 1675 Alhambra Blvd, Suite F, Sacramento, CA 95816-7047 | 2006-09-25 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95817 |
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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.