DR. ERIC PETERSON (NPI# 1689832628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689832628 |
| Entity Type | Individual |
| Full Name | DR. ERIC PETERSON |
| Credential | DDS MSD |
| Practice Address |
710 N Beaver St Bldg 4 Flagstaff AZ 86001-3139 |
| Practice Telephone | 9287742745 |
| Mailing Telephone | 9287742745 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D6362 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1497250252 | Eric Lee Peterson | Student in an Organized Health Care Education/Training Program | 740 S Limestone Room C301, Lexington, KY 40536-0293 | 2018-03-26 |
| 1396978458 | Eric Warren Peterson | Dentist | 1101 Higrove Pkwy, Suite 105, Leeds, AL 35094-1700 | 2009-08-24 |
| 1710955877 | Eric M Peterson | Family Medicine | 1115 S Marshall St, Boone, IA 50036-5304 | 2006-03-14 |
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1194346858 | Eric Dunham Peterson | Social Worker | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-05-04 |
| 1215598545 | Eric Peterson | Internal Medicine | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2019-06-26 |
| 1780111682 | Eric Christopher Peterson | Respiratory Therapist, Registered | 2435 Us Highway 19 Ste 300, Holiday, FL 34691-3909 | 2017-05-23 |
| 1376938043 | Eric Peterson | Orthopaedic Surgery | 525 E Market St, Summa Health System/orthopaedic Surgery Residency, Akron, OH 44309 | 2015-03-31 |
| 1861806796 | Eric Peterson | Internal Medicine | 2811 Tieton Dr, Yakima, WA 98902 | 2014-06-18 |
| Street Address |
710 N BEAVER ST BLDG 4 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154730950 | Judith Springer | Student in an Organized Health Care Education/Training Program | 710 N Beaver St Bldg 4, Flagstaff, AZ 86001-3139 | 2014-08-05 |
| 1053650705 | Kara Lee Miller | Counselor | 710 N Beaver St Bldg 4, Flagstaff, AZ 86001-3139 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1003447731 | Michael Mclaughlin Dds PC | Dentist | 940 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001-4852 | 2020-01-31 |
| 1215164561 | Emily Michelle Caskey Peppers | Dentist | 206 W Hunt Ave, Flagstaff, AZ 86001-3031 | 2009-06-14 |
| 1780715664 | William Michael Mcfadden | Dentist | 306 W. Hunt Ave., Flagstaff, AZ 86001 | 2007-03-09 |
| 1366050700 | Shariq Khan | Dentist | 713 N Beaver St, Flagstaff, AZ 86001-3142 | 2020-07-22 |
| 1760941553 | Northern Arizona Orthodontics | Dentist | 206 W Hunt Ave, Flagstaff, AZ 86001-3031 | 2019-03-19 |
| 1871931782 | Jacob Elwood Spendlove | Dentist | 940 N Switzer Canyon Dr, Flagstaff, AZ 86001-4852 | 2013-06-13 |
| 1265643704 | Robert T Caskey | Dentist | 710 N Beaver St, Flagstaff, AZ 86001-3100 | 2007-05-25 |
| 1003951161 | William Charles Gaylord | Dentist | 713 N Beaver St, Flagstaff, AZ 86001-3142 | 2007-02-20 |
| 1538151915 | Michael T Mclaughlin | Dentist | 940 N Switzer Canyon Dr, Suite 201, Flagstaff, AZ 86001-4852 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1467061119 | Grinz Nw Plc | Dentist | 7488 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2020-07-29 |
| 1669003422 | Suchita Mandair | Dentist | 8381 E Overlook Dr, Scottsdale, AZ 85255-6483 | 2020-01-30 |
| 1104475300 | Cordon Orthodontic Center Pllc | Dentist | 30012 N Cave Creek Rd Ste 102, Cave Creek, AZ 85331-5833 | 2019-09-10 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1720641228 | D'avanzo Arizona, Pllc | Dentist | 7001 N Scottsdale Rd, Scottsdale, AZ 85253-3658 | 2019-04-19 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1871066498 | Elite On Bell | Dentist | 15331 W Bell Rd Ste 210, Surprise, AZ 85374-4104 | 2019-01-07 |
| 1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
| 1730650508 | Quick Smiles LLC. | Dentist | 2268 E Williams Field Rd Ste 118, Gilbert, AZ 85295-0756 | 2018-12-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERIC PETERSON.
| 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.