LEONARD WINSLOW PETERSON (NPI# 1649323833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649323833 |
| Entity Type | Individual |
| Full Name | LEONARD WINSLOW PETERSON |
| Credential | DDS |
| Practice Address |
10430 S De Anza Blvd Suite #140 Cupertino CA 95014-3019 |
| Practice Telephone | 4088738484 |
| Practice Fax Number | 4088738459 |
| Mailing Telephone | 4088738484 |
| Mailing Fax Number | 4088738459 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D23020 | CA | Dental Providers |
| Street Address |
10430 S DE ANZA BLVD SUITE #140 |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336176080 | Tiffany W. Chang | Optometrist | 10430 S De Anza Blvd, Suite 100, Cupertino, CA 95014-3098 | 2006-06-27 |
| 1255722146 | Lakshmi Bangalorevatsansri | Obstetrics & Gynecology | 10430 S De Anza Blvd, #230, Cupertino, CA 95014-3019 | 2015-02-12 |
| 1851798839 | Bay Area Maternity Midwifery, Registered Nursing and Women's Health | Clinic/Center | 10430 S De Anza Blvd, Suite 230, Cupertino, CA 95014-3019 | 2014-11-19 |
| 1770914186 | Dingchin James Tsai Dds | Dentist | 10430 S De Anza Blvd, Suite 175, Cupertino, CA 95014-3019 | 2013-12-11 |
| 1083981120 | Bay Area Midwifery,registered Nursing and Women's Health,pc | Obstetrics & Gynecology | 10430 S De Anza Blvd, Suite 230e, Cupertino, CA 95014-3019 | 2011-11-17 |
| 1093005050 | Tiffany W. Chang, Od, Inc. | Optometrist | 10430 S De Anza Blvd, Suite 100, Cupertino, CA 95014-3098 | 2011-04-12 |
| 1669627790 | Alexander Jeffrey Kim | Dentist | 10430 S De Anza Blvd, Suite 290, Cupertino, CA 95014-3019 | 2008-11-17 |
| 1881863249 | Show Cheng Chu | Dentist | 10430 S De Anza Blvd, #160, Cupertino, CA 95014-3019 | 2008-02-29 |
| 1871627943 | Dennis Shing Der Chen | Dentist | 10430 S De Anza Blvd, Suite 185, Cupertino, CA 95014-3019 | 2007-03-14 |
| 1982748372 | Andrea W Hirsch | Psychologist | 10430 S De Anza Blvd, Suite 110, Cupertino, CA 95014-3019 | 2007-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699044065 | Wen S. Fan Dmd, Md and Cheng Dds, Md | Dentist | 20530 Town Center Ln, Cupertino, CA 95014-3200 | 2011-12-14 |
| 1851407753 | Alireza Michael Sodeifi | Dentist | 10393 Torre Ave, Suite L, Cupertino, CA 95014-3235 | 2006-08-22 |
| 1851548481 | Sodeifi and Massoomi Dmd Md Inc | Dentist | 10393 Torre Ave, Suite L, Cupertino, CA 95014-3235 | 2008-08-26 |
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| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.