DR. WISANU CHAROENKUL (NPI# 1124223540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124223540 |
| Entity Type | Individual |
| Full Name | DR. WISANU CHAROENKUL |
| Credential | DDS |
| Practice Address |
14810 Lake Hills Blvd Bellevue WA 98007-5821 |
| Practice Telephone | 4257479210 |
| Mailing Telephone | 4257479210 |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE0009798 | WA | Dental Providers |
| Street Address |
14810 LAKE HILLS BLVD |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1144718453 | Soper Smile Company Pllc | Dentist | 14575 Ne Bel Red Rd Ste 200, Bellevue, WA 98007-3908 | 2018-04-23 |
| 1215485792 | Leone and Vaughn Orthodontics | Dentist | 600 108th Ave Ne Ste 120, Bellevue, WA 98004-5110 | 2016-09-14 |
| 1811359094 | William Page Brown | Dentist | 4100 Factoria Blvd Se Ste A, Bellevue, WA 98006-1262 | 2016-03-25 |
| 1144641051 | Megha Anand | Dentist | 788 110th Ave Ne, N602, Bellevue, WA 98004-8312 | 2013-12-18 |
| 1154579548 | Dona M. Seely | Dentist | 1248 112th Ave Ne, Bellevue, WA 98004 | 2008-08-28 |
| 1902060445 | Jacqueline Bunce | Dentist | 12600 Se 38th St Ste 225, Bellevue, WA 98006-5232 | 2008-07-14 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1467674382 | Jeffrey Allen Schur | Dentist | 14635 Bel-red Rd, Ste E101, Bellevue, WA 98007-3932 | 2007-05-02 |
| 1306968003 | Samuel Lyon Lake | Dentist | 14420 Bel Red Rd Ste 105, Bellevue, WA 98007-3930 | 2007-04-04 |
| Find all providers in BELLEVUE | ||||
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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.