KEVIN MICHAEL PETERSON (NPI# 1407499957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407499957 |
| Entity Type | Individual |
| Full Name | KEVIN MICHAEL PETERSON |
| Credential | DDS |
| Practice Address |
1607 Westgate Cir Ste 400 Brentwood TN 37027-8080 |
| Mailing Address |
11901 Abess Blvd Apt 4123 Jacksonville FL 32225-6041 |
| Practice Telephone | 6158297150 |
| Mailing Telephone | 9062811915 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-11-05 |
| 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 |
11169 | TN | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
23982 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790225662 | Kevin Peterson | General Practice | 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-02-27 |
| 1174712434 | Kevin Richard Peterson | Pharmacist | 2324 S 156th Cir, Omaha, NE 68130-2511 | 2007-10-23 |
| 1053527895 | Kevin Howard Peterson | Psychologist | 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 | 2007-05-16 |
| 1558327064 | Kevin P Peterson | Family Medicine | 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 | 2006-04-24 |
| 1154972180 | Kevin Peterson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2019-09-20 |
| 1811543895 | Kevin Nicholas Peterson | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-14 |
| 1215412317 | Kevin Bradley Peterson | Audiologist | 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 | 2018-09-25 |
| 1215466321 | Kevin George Peterson | Physical Therapist | 898 Hampton Rd, Mcdonough, GA 30253-6514 | 2017-06-12 |
| 1538533393 | Kevin Peterson | Massage Therapist | 3005 86th St, Urbandale, IA 50322-4001 | 2015-11-17 |
| 1669633343 | Kevin W. Peterson | Pediatrics | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2008-06-24 |
| Street Address |
1607 WESTGATE CIR STE 400 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-8080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| 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 |
|---|---|---|---|---|
| 1518408848 | Kristen Hann | Dentist | 100 Cortona Way Ste 250, Brentwood, CA 94513-7160 | 2017-03-20 |
| 1285070896 | Alexander Reinhard Philip Blaseio | Dentist | 317 Seven Springs Way Ste 103, Brentwood, TN 37027-4576 | 2013-05-22 |
| 1487965703 | Gerald James Jeffry | Dentist | 2201 Balfour Rd Ste A, Brentwood, CA 94513-4927 | 2010-07-01 |
| 1932430980 | Joel D. Cooper | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2010-01-14 |
| 1912955238 | Craig Michael Starling | Dentist | 1177 Old Hickory Blvd, Suite 201, Brentwood, TN 37027-4223 | 2006-05-05 |
| 1477160570 | Candid Tennessee, Pllc | Dentist | 205 Powell Pl, Brentwood, TN 37027-7522 | 2020-09-23 |
| 1548683311 | Lucas Orthodontics Brentwood, Pllc | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2014-01-29 |
| 1740543230 | Hyunna Song Dmd, P.C. | Dentist | 566 Suffolk Ave, Brentwood, NY 11717-4210 | 2012-06-19 |
| 1235427691 | Brentwood Dental Specialists | Dentist | 1642 Westgate Cir, Suite 100, Brentwood, TN 37027-8194 | 2011-07-19 |
| 1437444528 | Brandon Micah Foltz | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2011-06-16 |
| Find all providers in BRENTWOOD | ||||
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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.