DR. PETER W. DOERKEN (NPI# 1356687057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356687057 |
| Entity Type | Individual |
| Full Name | DR. PETER W. DOERKEN |
| Credential | D.D.S. |
| Practice Address |
1448 15th Street Suite 100 Santa Monica CA 90404 |
| Practice Telephone | 3104589800 |
| Practice Fax Number | 3104589891 |
| Mailing Telephone | 3104589800 |
| Mailing Fax Number | 3104589891 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21874 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL BUREAU OF NARCOTICS & DANGEROUS DRUGS | AD5872494 | 01 |
| Street Address |
1448 15TH STREET SUITE 100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998946 | Stefan Hagopian | Neuromusculoskeletal Medicine & OMM | 1448 15th Street, Suite 207, Santa Monica, CA 90404 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1538624176 | Andee Dana Josserand | Dentist | 2660 2nd St Apt 2, Santa Monica, CA 90405-4159 | 2019-02-07 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1295259745 | Aaron Ochoco | Dentist | 2811 Wilshire Blvd Ste 600, Santa Monica, CA 90403-4822 | 2017-07-26 |
| 1962923532 | Spencer S Face | Dentist | 2730 Wilshire Blvd Ste 410, Santa Monica, CA 90403-4724 | 2017-07-04 |
| 1033563291 | Boram Yoo | Dentist | 1128 19th St, Santa Monica, CA 90403-5629 | 2016-04-14 |
| 1043695513 | Gordon Averill | Dentist | 270 26th St Ste 301, Santa Monica, CA 90402-2567 | 2015-07-27 |
| 1407231335 | Monika Kasprzak | Dentist | 2825 Santa Monica Blvd Ste 310, Santa Monica, CA 90404-2429 | 2015-07-21 |
| 1750783601 | Michael Drake | Dentist | 1243 7th St Ste A, Santa Monica, CA 90401-1658 | 2014-09-23 |
| 1023427317 | Joel Gould, D.d.s. | Dentist | 2901 Wilshire Blvd Ste 206, Santa Monica, CA 90403-4901 | 2014-08-12 |
| 1285043075 | Danielle Farzam | Dentist | 1233 San Vicente Blvd, Santa Monica, CA 90402-2103 | 2014-08-06 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.