DR. ISAAC PETERSON (NPI# 1619534542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619534542 |
| Entity Type | Individual |
| Full Name | DR. ISAAC PETERSON |
| Credential | DDS |
| Practice Address |
1413 Meadow Run Dr Moore OK 73160-0813 |
| Practice Telephone | 8016341966 |
| Mailing Telephone | 8016341966 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7196 | OK | Dental Providers |
| Street Address |
1413 MEADOW RUN DR |
| City | MOORE |
| State | OK |
| Zip Code | 73160-0813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| 1275971566 | Melissa L Nguyen | Dentist | 711 Sw 19th St, Moore, OK 73160-2957 | 2013-06-07 |
| 1730423955 | Andrew Earl Floyd Jr. | Dentist | 4051 Moore Duncan Hwy, Moore, SC 29369-9470 | 2012-11-15 |
| 1790089662 | Richard Sam Homsey IIi | Dentist | 1400 Se 4th St Ste A, Moore, OK 73160-7328 | 2011-01-06 |
| 1669560348 | Richard Sam Homsey | Dentist | 1400 Se 4th, Suite A, Moore, OK 73160 | 2006-10-10 |
| 1043328594 | Chad Douglas Spiva | Dentist | 808 Ne 19th St, Moore, OK 73160 | 2006-08-25 |
| 1295350288 | Madeline Lynch | Dentist | 500 N Eastern Ave, Moore, OK 73160-5851 | 2020-06-15 |
| 1265055917 | Dallin Bryan Harris | Dentist | 811 Sw 19th St Ste A, Moore, OK 73160-2890 | 2020-05-28 |
| 1437386075 | Wesley Aaron Duffel | Dentist | 500 N Eastern Ave, Moore, OK 73160-5851 | 2009-06-22 |
| 1306011093 | Chad D Spiva | Dentist | 808 Ne 19th St, Moore, OK 73160-6302 | 2008-04-24 |
| Find all providers in MOORE | ||||
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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.