PETER KORN


Address: 11135 Rosemary Dr, Auburn, CA 95603-5945
Phone: 5309067609

PETER KORN (NPI# 1598314023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598314023
Entity Type Individual
Full Name PETER KORN
Credential RDHAP
Practice Address 11135 Rosemary Dr
Auburn
CA 95603-5945
Practice Telephone 5309067609
Mailing Telephone 5309067609
Enumeration Date 2019-09-06
Last Update Date 2019-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125K00000X Advanced Practice Dental Therapist 757 CA Dental Providers

Other Providers PETER KORN

NPI Name Taxonomy Address Enumeration
1518308196 Peter Korn Counselor 20 Eastbrook Rd, Suite 104, Dedham, MA 02026-2075 2013-07-11
1730303058 Peter Tobias Korn Surgery 833 Northern Blvd, Suite 160, Greatneck, NY 11021 2007-04-11

Office Location

Street Address 11135 ROSEMARY DR
City AUBURN
State CA
Zip Code 95603-5945

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487271508 James Robert Thornton Social Worker 398 Rhoes View Dr, Auburn, CA 95603 2020-07-06
1437713674 June Meja Razzano Psychoanalyst 265 Nevada Station, Auburn, CA 95603 2019-04-23
1689175366 Georgia Lee Bates Speech-Language Pathologist 2145 Bell Road, 215, Auburn, CA 95603 2018-02-27
1811406085 Veronica Evette Magana Specialist 11485 C Ave, Auburn, CA 95603 2017-09-20
1043733777 Ken Rescate Physical Therapist 2145 Bell Road, #215, Auburn, CA 95603 2017-07-25
1730534975 Juanita Carey Counselor 1190 Heritage Oak Place, Auburn, CA 95603 2016-04-25
1255747010 Cara Wilber Marriage & Family Therapist 11512 B Avenure, Auburn, CA 95603 2014-07-01
1538572094 Mark Garrison Pharmacist 13386 Lincoln Way, Auburn, CA 95603 2014-06-03
1427460583 Tessa Jacques Marriage & Family Therapist 263 Nevada Station, Auburn, CA 95603 2014-05-23
1629497359 Elisabeth Ann Neubert-cook Registered Nurse 11484 B. Avenue, Auburn, CA 95603 2014-04-09
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Taxonomy Information

Taxonomy Code 125K00000X
Grouping Dental Providers
Classification Advanced Practice Dental Therapist

Taxonomy Definition

An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538760459 Carlos Heriberto Quinonez Advanced Practice Dental Therapist 16077 Chella Dr, Hacienda Heights, CA 91745-6402 2020-11-06
1033753298 Lynnette Bradley Advanced Practice Dental Therapist 4218 Giles Ct, Riverside, CA 92503-3154 2019-10-31
1154982395 Evelyn Marie Schrager Advanced Practice Dental Therapist 803 E Woodhaven Ln, Fresno, CA 93720-1209 2019-06-27
1558828160 Charon Moody Advanced Practice Dental Therapist 727 E Holborn Dr, Carson, CA 90746-2328 2019-03-01
1104371368 Marie Ekins Rdhap Corp Advanced Practice Dental Therapist 10831 Canelo Rd, Whittier, CA 90604-1902 2016-08-17
1922484682 Travis Tramel Advanced Practice Dental Therapist 4199 Flat Rock Dr, Suite 127, Riverside, CA 92505-7115 2015-08-05
1851774186 Terri De La Pena Advanced Practice Dental Therapist 10011 Shaggybark Dr, Santee, CA 92071-1136 2015-07-06
1720470230 Christine Jackson-bartolomei Advanced Practice Dental Therapist 4806 Darlington Ln, Sacramento, CA 95835-2000 2015-02-21
1356753826 Megan Ellen Graff Advanced Practice Dental Therapist 6084 Gold Spirit St, Eastvale, CA 92880-0988 2014-06-02
1275958597 Theresa Zenner Clouse Advanced Practice Dental Therapist 1849 S Tamarack St, Visalia, CA 93277-8422 2014-02-24
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Competitor

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City AUBURN
Zip Code 95603

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Dataset Information

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.

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