DR. RYAN PETERSON (NPI# 1841676764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841676764 |
| Entity Type | Individual |
| Full Name | DR. RYAN PETERSON |
| Credential | D.M.D. |
| Practice Address |
18340 Governors Hwy Homewood IL 60430-2910 |
| Practice Telephone | 7087990660 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.030355 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619354008 | Ryan Peterson | Hearing Instrument Specialist | 822 Mainstreet, Hopkins, MN 55343-7627 | 2015-05-05 |
| 1912213497 | Ryan Peterson | Counselor | 179 Morrison Ave, Somerville, MA 02144-2017 | 2010-08-23 |
| 1669613816 | Ryan Curtis Peterson | Anesthesiology | 3209 Hillock Dr, Los Angeles, CA 90068-1427 | 2009-03-18 |
| 1245486307 | Ryan Thomas Peterson | Podiatrist | 676 S Bluff St Ste 205, St George, UT 84770-3568 | 2008-08-08 |
| 1902864614 | Ryan Kent Peterson | Optometrist | 4401 E Sunset Rd, Suite 4, Henderson, NV 89014-0274 | 2006-05-02 |
| 1346237393 | Ryan Paul Peterson | Family Medicine | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2005-10-04 |
| 1952908600 | Ryan Peterson | Pharmacist | 50 W Techne Center Dr Ste J, Milford, OH 45150-9798 | 2020-10-06 |
| 1124650395 | Ryan Peterson | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2020-02-06 |
| 1912434432 | Ryan Dean Peterson | Family Medicine | 4318 Trail Boss Dr Ste 100, Castle Rock, CO 80104-7512 | 2017-05-15 |
| 1992188486 | Ryan Peterson | Behavioral Analyst | 5800 S Highland Dr, Salt Lake City, UT 84121-1359 | 2015-07-02 |
| Street Address |
18340 GOVERNORS HWY |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669520813 | Walter Douglas Flor | Dentist | 18340 Governors Hwy, Homewood, IL 60430 | 2007-01-06 |
| 1558668756 | Walter D. Flor, D.d.s., Ltd. | Clinic/Center | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2011-02-24 |
| 1316244767 | Craig Bradley Snyder | Dentist | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2011-02-22 |
| 1871797191 | Scott R Lang | Dentist | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| 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 |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1144756461 | Diamond Smiles Homewood | Dentist | 112 Broadway St, Homewood, AL 35209-5312 | 2017-05-05 |
| 1467688614 | University Dental Associates | Dentist | 18213 Dixie Hwy, Homewood, IL 60430-2205 | 2009-06-02 |
| 1083840342 | Jack R Clark | Dentist | 1856 Lancaster Rd, Homewood, AL 35209-4114 | 2009-06-01 |
| 1568672749 | Dr. Robert K. Rudolph, D.m.d., PC | Dentist | 1754 Oxmoor Rd, Homewood, AL 35209-4056 | 2007-05-23 |
| 1609994094 | Thomas Walton Erickson | Dentist | 18019 Dixie Hwy Ste 1b, Homewood, IL 60430-3059 | 2007-03-26 |
| 1306970397 | Eldridge&eldridge Dds PC | Dentist | 1944 Ridge Rd, Homewood, IL 60430-1730 | 2007-03-14 |
| 1235283821 | Drs. Kreuz and Duffner, Dds, Ltd. | Dentist | 18040 Park Ave, Homewood, IL 60430-1606 | 2007-01-22 |
| 1669520813 | Walter Douglas Flor | Dentist | 18340 Governors Hwy, Homewood, IL 60430 | 2007-01-06 |
| 1235295460 | David Duane Mayer | Dentist | 18114 Gottschalk Ave, Homewood, IL 60430-2208 | 2006-12-30 |
| Find all providers in HOMEWOOD | ||||
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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.