JOSHUA HASSAN (NPI# 1184084055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184084055 |
| Entity Type | Individual |
| Full Name | JOSHUA HASSAN |
| Credential | D.M.D |
| Practice Address |
2100 Miller Park Way West Milwaukee WI 53219-1641 |
| Mailing Address |
3012 W Jarvis Ave Chicago IL 60645-1112 |
| Practice Telephone | 9088122220 |
| Mailing Telephone | 9088122220 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 319.020434 | IL | Dental Providers |
| N | 122300000X | Dentist | 019.031082 | IL | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1001750-15 | WI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10155 Washington Ave, Sturtevant, WI 531771645 | 9088122220 | |
| 2829 N Lincoln Ave, Chicago, IL 606576932 | 9088122220 |
| Street Address |
2100 MILLER PARK WAY |
| City | WEST MILWAUKEE |
| State | WI |
| Zip Code | 53219-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285679944 | Patrick R Kaul | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2006-06-18 |
| 1922616002 | Thomas J. Moscinski | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2020-07-15 |
| 1659855914 | Jerome Adrian Jackson Jr. | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2018-09-21 |
| 1962980102 | Nina Rakowsky | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2018-07-31 |
| 1356895593 | Wendy Zhu | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2016-08-04 |
| 1043612328 | Ami Inoue | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2014-09-18 |
| 1699192252 | Inas Murrar | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2014-03-20 |
| 1801183371 | Omar Arshad | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2011-07-06 |
| 1346535002 | Laura Elizabeth Goodell | Dentist | 2100 Miller Park Way, West Milwaukee, WI 53219-1641 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
| 1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
| 1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
| 1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
| 1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
| 1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
| 1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
| 1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| Find all providers in zip 53219 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
| 1285937557 | Craig William Byers | Dentist | 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 | 2010-12-08 |
| 1558662387 | Jason William Cooke | Dentist | 2557b E Calumet St, Appleton, WI 54915-4748 | 2010-11-10 |
| 1780998997 | Thomas C. Kelley Dds Msd LLC | Dentist | 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 | 2010-07-29 |
| 1376789933 | Shoreline Periodontics Limited | Dentist | 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177 | 2008-12-31 |
| 1003052895 | James P. Herman | Dentist | 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 | 2008-12-28 |
| 1760684930 | Jeffrey Joseph Burke | Dentist | 2323 S 109th St Ste 275, West Allis, WI 53227-1912 | 2007-06-01 |
| 1992915276 | Scott George Metskas | Dentist | 3364 Iris Ln, Stevens Point, WI 54481-5618 | 2007-05-23 |
| 1134339500 | Fox River Periodontics Sc | Dentist | 2557b East Calumet St, Appleton, WI 54915 | 2007-05-23 |
| 1891903043 | Denise Y Shih | Dentist | 2853 N Marietta Ave, Milwaukee, WI 53211-3420 | 2007-05-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST MILWAUKEE |
| Zip Code | 53219 |
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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.