KELSEY CHIN (NPI# 1073131348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073131348 |
| Entity Type | Individual |
| Full Name | KELSEY CHIN |
| Credential | DDS |
| Practice Address |
888 Thackeray Trl Ste 215 Oconomowoc WI 53066-4342 |
| Practice Telephone | 2625676003 |
| Mailing Telephone | 2625676003 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1002420-15 | WI | Dental Providers |
| N | 122300000X | Dentist | 019.032759 | IL | Dental Providers |
| Street Address |
888 THACKERAY TRL STE 215 |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353456 | Francis P Ramirez | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831628361 | Alicia Therese Malak | Dentist | 1240 Prairie Creek Blvd Unit 103, Oconomowoc, WI 53066-8613 | 2017-06-08 |
| 1194086488 | Allison Marie Lehman | Dentist | 850 Summit Ave Stop 1, Oconomowoc, WI 53066-3920 | 2012-06-03 |
| 1508186263 | Samantha Jean Ruiz | Dentist | 1300 N Summit Ave Ste 101, Oconomowoc, WI 53066-4467 | 2010-06-04 |
| 1245498641 | Mark J Grevlich | Dentist | N68w33420 Hwy K, Oconomowoc, WI 53066 | 2008-06-02 |
| 1053508952 | James A Michaels | Dentist | 819 Summit Ave, Oconomowoc, WI 53066-3998 | 2007-09-25 |
| 1417079690 | Matthew Lande Lehman | Dentist | 850 Summit Ave, Oconomowoc, WI 53066 | 2007-04-06 |
| 1932267622 | Judie V Cotey | Dentist | 175 E Wisconsin Ave, Suite F, Oconomowoc, WI 53066-3057 | 2006-12-05 |
| 1881703965 | Charles Todd Holsen | Dentist | 406 E Summit Ave, Oconomowoc, WI 53066 | 2006-08-30 |
| 1295353456 | Francis P Ramirez | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1518418243 | Lakeland Family Dental, LLC | Dentist | 1300 N Summit Ave, Suite 101, Oconomowoc, WI 53066-4467 | 2016-10-18 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on KELSEY CHIN.
| 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.