MRS. MANIJEH KHORSHIDI (NPI# 1013921394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013921394 |
| Entity Type | Individual |
| Full Name | MRS. MANIJEH KHORSHIDI |
| Credential | D.D.S. |
| Practice Address |
1135 S Cesar E Chavez Dr Milwaukee WI 53204-2266 |
| Mailing Address |
640 Mac Henry Cir # A Brookfield WI 53045-3636 |
| Practice Telephone | 4146454540 |
| Mailing Telephone | 2627949118 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3729-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33695300 | 05 |
| Street Address |
1135 S CESAR E CHAVEZ DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558304345 | Edward H Spiegelberg | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-13 |
| 1043220007 | Natalya S Zavarnova Bleichwehl | Dental Hygienist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-08-09 |
| 1578577136 | Carie M. Mueller | Dental Hygienist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-07-28 |
| 1144254012 | Walter M Lucas IIi | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-07-10 |
| 1699703520 | Jane A Ney | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-29 |
| 1124055595 | Bartley V Bell | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-28 |
| 1407884687 | Faye H Fowler | Dental Hygienist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-28 |
| 1639106206 | Steven Michael Rooney | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-27 |
| 1356377147 | Vy James Kotlewski | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-23 |
| 1851327852 | Kiran Kumari Singh | Dentist | 1135 S Cesar E Chavez Dr, Milwaukee, WI 53204-2266 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| 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 |
|---|---|---|---|---|
| 1932752862 | Edp of Wisconsin, PC | Dentist | 1825 N Martin Luther King Dr, Milwaukee, WI 53212-3673 | 2019-07-19 |
| 1245742733 | D2 Dental of Wisconsin, S.c. | Dentist | 1838 S 15th St, Milwaukee, WI 53204-3225 | 2017-10-25 |
| 1003337494 | Anne Katherine Press | Dentist | 5000 National Dr, Milwaukee, WI 53295-0001 | 2017-07-06 |
| 1942739610 | Scott Thomas Boyer | Dentist | 1017 S 2nd St Unit 305, Milwaukee, WI 53204-1885 | 2017-06-07 |
| 1477908648 | Reem Mahjoub | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2016-04-25 |
| 1215381009 | Katherine Lynn Pauly | Dentist | 270 E Highland Ave Apt 236, Milwaukee, WI 53202-6638 | 2016-04-18 |
| 1154794584 | Familia Dental River Glen LLC | Dentist | 142 E Capitol Dr, Milwaukee, WI 53212-1206 | 2015-11-06 |
| 1609259266 | Familia Dental Mkemitchell LLC | Dentist | 821 S Layton Blvd, Milwaukee, WI 53215-1225 | 2015-07-01 |
| 1174811640 | Juhi Yadava | Dentist | 710 W Mitchell St, Milwaukee, WI 53204-3556 | 2011-07-18 |
| 1730474511 | Gloria Lee | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2011-06-09 |
| Find all providers in MILWAUKEE | ||||
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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.