DEBRA PETERSON (NPI# 1790231231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790231231 |
Entity Type | Individual |
Full Name | DEBRA PETERSON |
Credential | DMD |
Practice Address |
32 Atchinson Stage Ct Clayton CA 94517-1101 |
Practice Telephone | 9252707666 |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-08-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
100607 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699109868 | Debra Theresa Peterson I | Licensed Vocational Nurse | 38454 N Carolina Ave, San Tan Valley, AZ 85140-5835 | 2013-08-23 |
1023341435 | Debra Lynn Peterson | Counselor | 425 W Griggs Ave, Las Cruces, NM 88005-2605 | 2009-09-16 |
1306034129 | Debra Jane Peterson | Registered Nurse | 50 N Walkup Ave, Crystal Lake, IL 60014-4316 | 2007-10-05 |
1841357548 | Debra Sue Peterson | Chiropractor | 1952 N Tustin St, Orange, CA 92865-4644 | 2007-01-02 |
1780766691 | Debra Shereta Peterson | Homeopath | 202 Lakeview Dr, Newport News, VA 23602-6414 | 2006-10-19 |
1285725895 | Debra Diane Peterson | Physician Assistant | 185 East 7th Ave, Suite D, Chico, CA 95926 | 2006-09-27 |
1073510327 | Debra E Peterson | Physical Therapist | 8415 Wann Dr, Madison, AL 35758-9534 | 2005-07-01 |
1467720318 | Debra L Peterson | Counselor | 2100 Campus Dr Se, Suite 200, Rochester, MN 55904-4831 | 2011-12-07 |
1770603813 | Debra Irene Peterson | Counselor | 300 2nd Ave Ne, Suite 221, Jamestown, ND 58401-3373 | 2007-03-30 |
1356450860 | Debra J Peterson | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-08-29 |
Street Address |
32 ATCHINSON STAGE CT |
City | CLAYTON |
State | CA |
Zip Code | 94517-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881995785 | Chan-cheong Lee | Pharmacist | 5432 Clayton Rd, Clayton, CA 94517 | 2010-11-09 |
1235322009 | Longs Drug Stores California, LLC | Pharmacy | 6490 Clayton Rd, Clayton, CA 94517 | 2007-08-24 |
1518073030 | Steven M Kaplan | Family Medicine | 5439 Clayton Road, Suite B, Clayton, CA 94517 | 2006-08-21 |
1689689952 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5437 Clayton Rd, Clayton, CA 94517-1039 | 2006-07-29 |
1417983297 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 5431 Clayton Rd, Clayton, CA 94517-1039 | 2006-06-24 |
1184995300 | Sherman Chuck Mah | Pharmacist | 5437 Clayton Rd, Clayton, CA 94517-1039 | 2012-01-19 |
1982981163 | Dana T Nguyen | Pharmacist | 5437 Clayton Rd, Clayton, CA 94517-1039 | 2011-11-15 |
1780985804 | Pankaj A Ashar | Pharmacist | 5431 Clayton Rd, Clayton, CA 94517-1039 | 2010-11-05 |
1891726972 | Heather Linnea Lesieur | Physician Assistant | 5439 Clayton Rd Ste B, Clayton, CA 94517-1076 | 2006-07-06 |
1972656718 | Clayton Valley Medical Group, Inc | Family Medicine | 5439 Clayton Rd Ste B, Clayton, CA 94517-1076 | 2007-01-18 |
Find all providers in zip 94517 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326577602 | Matthew Barnes | Dentist | 660 Nc-42, Clayton, NC 27520 | 2017-06-08 |
1831447259 | David P. Cartago Dds, Dental Office, Inc. | Dentist | 1026 Oak St Ste 202, Clayton, CA 94517-1363 | 2012-08-15 |
1578824488 | Matthew J Grabowski | Dentist | 100 Pinecroft Dr, Clayton, NC 27520-6923 | 2012-06-06 |
1053683979 | Stephanie Lynn Brown | Dentist | 964 Nc Highway 42 W, Clayton, NC 27520-7434 | 2012-02-08 |
1295029163 | Victor Duc Truong | Dentist | 6200 Center St, Suite I, Clayton, CA 94517-1446 | 2011-06-08 |
1750573960 | Charles Brent Mallin | Dentist | 8000 Bonhomme Ave Ste 401, Suite 401, Clayton, MO 63105-3515 | 2007-08-11 |
1598961690 | John Clifford Tomasheski | Dentist | 31 Oleander Dr, Clayton, NC 27527-4561 | 2007-06-25 |
1275672875 | Wesley Turner Funk | Dentist | 608 Highway 76 West, Clayton, GA 30525-0031 | 2007-02-06 |
1245382936 | Jason Wayne Mullen | Dentist | 100 Pinecroft Dr., Clayton, NC 27520 | 2007-01-16 |
1194801852 | Riccobene Flowers | Dentist | 31 Oleander Drive, Clayton, NC 27527 | 2006-10-27 |
Find all providers in CLAYTON |
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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.