DR. KRISTEN DENT (NPI# 1881072791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881072791 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN DENT |
| Other Name | MS. KRISTEN VAUGHN |
| Credential | M.D. |
| Practice Address |
815 Main St Peoria IL 61602 |
| Mailing Address |
304 E Central St Warren AR 71671-3452 |
| Practice Telephone | 3096724984 |
| Mailing Telephone | 8702268636 |
| Mailing Fax Number | 8702268655 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-12399 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
815 MAIN ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082865 | Tolulope Oyebola Oke | Student in an Organized Health Care Education/Training Program | 815 Main St, Peoria, IL 61602-1076 | 2020-04-16 |
| 1568013779 | Tyler Vanderostyne | Registered Nurse | 815 Main St, Peoria, IL 61602-1076 | 2019-09-28 |
| 1184190613 | Shelby Laine Fehr | Registered Nurse | 815 Main St, Peoria, IL 61602-1076 | 2018-10-23 |
| 1457846834 | Serafino Sauro | Student in an Organized Health Care Education/Training Program | 815 Main St, Peoria, IL 61602-1076 | 2018-06-27 |
| 1457807646 | Emily Taylor | Nurse Practitioner | 815 Main St, Peoria, IL 61602-1076 | 2016-08-29 |
| 1356793459 | Omomengbe Oni | Family Medicine | 815 Main St, Peoria, IL 61602-1076 | 2016-07-13 |
| 1285085498 | Tauqeer Qazi | Family Medicine | 815 Main St, Ste A, Peoria, IL 61602-1076 | 2016-06-29 |
| 1245680651 | Thomas Joseph Bollaert | Family Medicine | 815 Main St, Peoria, IL 61602-1076 | 2016-06-16 |
| 1649629643 | Joseph Karas | Family Medicine | 815 Main St, Ste A, Peoria, IL 61602-1076 | 2016-06-09 |
| 1841649845 | Muhammad Deen | Family Medicine | 815 Main St, Ste A, Peoria, IL 61602-1076 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| 1568805703 | Mohsina Ahmed | Psychiatry & Neurology | 900 Main St Ste 400, Peoria, IL 61602 | 2013-04-08 |
| 1750518775 | Laura Smith | Family Medicine | 815 Main St Ste A, Peoria, IL 61602 | 2009-06-17 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621739 | Titan Medical LLC | Family Medicine | 13660 N 94th Dr Ste D-3, Peoria, AZ 85381-4836 | 2020-05-27 |
| 1619516788 | Michelle Martin | Family Medicine | 15182 N 75th Ave # Uint180, Peoria, AZ 85381-4722 | 2020-01-06 |
| 1124667555 | District Medical Group, Inc | Family Medicine | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 | 2020-01-02 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1992236848 | Agape Primary Care, Pllc | Family Medicine | 8380 W Emile Zola Ave # 5178, Peoria, AZ 85381-4811 | 2017-03-22 |
| 1043666910 | Honorhealth Medical Group, LLC | Family Medicine | 10230 W Happy Valley Rd, Ste100, Peoria, AZ 85383-2795 | 2016-05-10 |
| 1598160863 | Healthcare Partners Arizona Medical Group LLC | Family Medicine | 16155 N 83rd Ave Ofc, #201, Peoria, AZ 85382-5815 | 2014-10-29 |
| 1164856506 | Charlotte Christie Clayton | Family Medicine | 7505 N Edgewild Dr, Peoria, IL 61614-2117 | 2013-08-21 |
| 1770824112 | Dean Robert Bordeaux | Family Medicine | 7614 N Patton Ln, Peoria, IL 61614-1828 | 2013-03-11 |
| 1467731935 | James Austin Shane Jr. | Family Medicine | 18821 N 94th Ave, Peoria, AZ 85382-3697 | 2011-08-15 |
| Find all providers in PEORIA | ||||
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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.