NORTH APPLETON DENTISTRY, LLC (NPI# 1194241216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194241216 |
Entity Type | Organization |
Organization Name | NORTH APPLETON DENTISTRY, LLC |
Practice Address |
3521 Commerce Ct Appleton WI 54911-8579 |
Mailing Address |
W5840 Geranium Dr Appleton WI 54915-5662 |
Practice Telephone | 9207347730 |
Mailing Telephone | 9209548216 |
Enumeration Date | 2017-08-21 |
Last Update Date | 2018-06-16 |
Authorized Official Name | MELISSA KATZENMAIER (OWNER) |
Authorized Official Telephone | 9207347730 |
Authorized Official Credential | RDH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | DENTAL | 1023464344 | 01 |
WI | DENTAL | 1144676990 | 01 |
WI | DENTAL | 1255348637 | 01 |
WI | DENTAL | 1578874426 | 01 |
Street Address |
3521 COMMERCE CT |
City | APPLETON |
State | WI |
Zip Code | 54911-8579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255348637 | Douglas Richard Nelson | Dentist | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2006-08-01 |
1164855219 | Richard J Schoengarth | Dentist | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2013-08-13 |
1669556619 | Richard J. Schoengarth Dds Sc | Dentist | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
Find all providers in zip 54911 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336237551 | Tri-county Community Dental Clinic, Inc. | Clinic/Center | 9 Tri Park Way, Appleton, WI 54914-1661 | 2006-10-11 |
1124540315 | Fox Run Dental, LLC | Clinic/Center | 229 E Franklin St, Appleton, WI 54911-5434 | 2017-07-10 |
1811430796 | First Impressions Sc | Clinic/Center | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2016-11-28 |
1497115232 | Appleton Dental Care, P.a. | Clinic/Center | 32 S Behl St, Appleton, MN 56208-1616 | 2016-03-06 |
1356414114 | Timbercrest Dental Center, S.c. | Clinic/Center | 821 E 1st Ave, Suite 3, Appleton, WI 54911-1501 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
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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.