DR. KENTARO ISHIKAWA (NPI# 1194078584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194078584 |
| Entity Type | Individual |
| Full Name | DR. KENTARO ISHIKAWA |
| Credential | DMD |
| Practice Address |
190 Lake Dr E Ste 130 Chanhassen MN 55317 |
| Mailing Address |
4800 Excelsior Blvd Apt 502 St Louis Park MN 55416-3064 |
| Practice Telephone | 9208304100 |
| Mailing Telephone | 7342722714 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2018-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13971 | MN | Dental Providers |
| Street Address |
190 LAKE DR E STE 130 |
| City | CHANHASSEN |
| State | MN |
| Zip Code | 55317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245717 | Thaddeus Sharikov | Chiropractor | 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 | 2016-06-10 |
| 1720461668 | Steven C Witmer | Counselor | Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 | 2015-07-08 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1528273299 | Cam-tu Nguyen Dalluge | Dentist | 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 | 2007-05-14 |
| 1194938910 | Sheri Hinrichs | Psychologist | 600 W. 78th St. #220, Chanhassen, MN 55317 | 2007-05-08 |
| 1891833059 | Great Plains Dental | Dentist | 500 W 79th St, Chanhassen, MN 55317 | 2007-02-01 |
| 1073665014 | Judith Aarsvold Indrelie | Psychologist | 600 West 78th Street, Chanhassen, MN 55317 | 2007-01-18 |
| 1285709410 | Diane Patricia O'grady | Psychiatry & Neurology | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2006-11-22 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| 1790865384 | Janelle Alise Becker-puklich | Chiropractor | 7975 Stone Creek Drive, #20, Chanhassen, MN 55317 | 2006-10-17 |
| Find all providers in zip 55317 | ||||
| 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 |
|---|---|---|---|---|
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1760852487 | Chanhassen Smiles Dentistry, PC | Dentist | 190 Lake Drive E, Suite 130, Chanhassen, MN 55319 | 2015-10-07 |
| 1649318619 | Richard C Axel. Dds, Pa | Dentist | 7935 Stone Creek Dr, #150, Chanhassen, MN 55317-4610 | 2007-02-02 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| 1871545970 | Bradley Dean Lembke | Dentist | 480 W 78th St, Suite #116, Chanhassen, MN 55317-4527 | 2006-05-17 |
| 1891826020 | Tiffany Axel-weyandt | Dentist | 7935 Stone Creek Dr, Suite 150, Chanhassen, MN 55317-4610 | 2007-03-08 |
| 1164582284 | Terri Jo Trogen | Dentist | 480 W 78th St, Suite 107, Chanhassen, MN 55317-4527 | 2006-12-11 |
| 1851344659 | Jeffrey Robert Hall | Dentist | 480 W 78th St, Suite #116, Chanhassen, MN 55317-4527 | 2006-05-19 |
| 1538112180 | Chanhassen Dental | Dentist | 480 W 78th St, Suite #116, Chanhassen, MN 55317-4527 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| 1891303962 | Bryson Sloan Rushing | Dentist | 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | CHANHASSEN |
| Zip Code | 55317 |
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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.