DR. THOMAS JOHN PETERSON (NPI# 1851492573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851492573 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOHN PETERSON |
| Credential | DDS |
| Practice Address |
519 Christel Dr. Valders WI 54245 |
| Practice Telephone | 9207754531 |
| Practice Fax Number | 9207754180 |
| Mailing Telephone | 9207754531 |
| Mailing Fax Number | 9207754180 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3128015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE | 3128015 | 01 |
| WI | 33456300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1992208227 | Thomas Joseph Peterson | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency Program, Wrnmmc, 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-03-13 |
| 1275758187 | Thomas Mckeel Peterson | Dentist | 318 3rd Ave Nw, Hickory, NC 28601 | 2007-04-16 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1093841397 | Thomas David Peterson | Neuromusculoskeletal Medicine & OMM | 1178 Charnelton St, Eugene, OR 97401-3431 | 2007-02-23 |
| 1891806709 | Thomas Merlin Peterson | Dentist | 816 W St Germain St #101, St Cloud, MN 56301-3511 | 2006-08-31 |
| 1891755823 | Thomas Michael Peterson | Specialist/Technologist | 3537 10th St S, Fargo, ND 58104-6201 | 2006-03-24 |
| 1205492287 | Thomas Adam Peterson | Occupational Therapy Assistant | 8820 Horizon Blvd Ne, Albuquerque, NM 87113-1689 | 2019-05-14 |
| 1659849149 | Thomas Peterson | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-11-02 |
| 1699267609 | Thomas Austin Peterson | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2018-06-05 |
| Street Address |
519 CHRISTEL DR. |
| City | VALDERS |
| State | WI |
| Zip Code | 54245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194852061 | Village of Valders | Ambulance | 103 Eisenhower Street, Valders, WI 54245 | 2007-02-27 |
| 1578633202 | Jonathon Michael Streblow | Chiropractor | 715 Christel Dr, Valders, WI 54245 | 2006-11-09 |
| 1679674477 | Laura Guevara | Dentist | 519 Christel Drive, Valders, WI 54245 | 2006-09-26 |
| 1659487825 | Valders Dental Associates Sc | Dentist | 519 Christel Dr, Valders, WI 54245 | 2006-08-21 |
| 1285781203 | Streblow Chiropractic Office LLC | Chiropractor | 715 Christel Dr, Valders, WI 54245-0055 | 2007-01-04 |
| 1528446291 | A&j Vans Inc | Non-emergency Medical Transport (VAN) | 333 W Washington St, Valders, WI 54245-9201 | 2015-05-13 |
| 1568808954 | Samantha Sue Pate | Licensed Practical Nurse | 18703 County Road C, Valders, WI 54245-9401 | 2013-05-13 |
| 1427272798 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 721 S. Calumet Dr, Valders, WI 54245-9583 | 2007-04-11 |
| 1285738641 | Jennifer L Ladwig | Nurse Practitioner | 721 S Calumet St, Valders, WI 54245-9583 | 2006-09-07 |
| 1518146091 | Valders Area School District | Local Education Agency (LEA) | 138 Wilson St, Valders, WI 54245-9645 | 2007-10-31 |
| Find all providers in zip 54245 | ||||
| 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 |
|---|---|---|---|---|
| 1679674477 | Laura Guevara | Dentist | 519 Christel Drive, Valders, WI 54245 | 2006-09-26 |
| 1659487825 | Valders Dental Associates Sc | Dentist | 519 Christel Dr, Valders, WI 54245 | 2006-08-21 |
| 1134606007 | Thomas Peirick | Dentist | 519 Christel Dr, Valders, WI 54245-9652 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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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.