ELENA RABAGO (NPI# 1205483278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205483278 |
| Entity Type | Individual |
| Full Name | ELENA RABAGO |
| Practice Address |
706 S Gammon Rd Madison WI 53719-1302 |
| Mailing Address |
2050 E Algonquin Rd Ste 610 Schaumburg IL 60173-4166 |
| Practice Telephone | 8889884066 |
| Mailing Telephone | 8889884066 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1002184 | WI | Dental Providers |
| Street Address |
706 S GAMMON RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699138297 | Familia Dental Madison West LLC | Dentist | 706 S Gammon Rd, Madison, WI 53719-1302 | 2016-03-31 |
| 1689281081 | Frances Adjepon-yamoah | Dentist | 706 S Gammon Rd, Madison, WI 53719-1302 | 2020-09-29 |
| 1821505322 | Apurv Jhawar | Dentist | 706 S Gammon Rd, Madison, WI 53719-1302 | 2018-01-05 |
| 1942721931 | Jinyoung Kim | Dentist | 706 S Gammon Rd, Madison, WI 53719-1302 | 2017-06-29 |
| 1154842342 | Duc Thi Kim Bui | Dentist | 706 S Gammon Rd, Madison, WI 53719-1302 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| 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 |
|---|---|---|---|---|
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1689286254 | Rajdeepsinh Narendrasinh Dolia | Dentist | 12205 County Line Rd Ste A, Madison, AL 35758-7720 | 2020-08-17 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1649824830 | Applewhite Dental Wisconsin, P.C. | Dentist | 5610 Medical Cir Ste 10, Madison, WI 53719-1284 | 2019-07-26 |
| 1336792787 | Mary Catherine Decker | Dentist | 8002 Watts Rd, Madison, WI 53719-3811 | 2019-07-24 |
| 1639739345 | Matthew Douglas Smith | Dentist | 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 | 2019-06-14 |
| 1790277432 | Allison Reimer | Dentist | 4602 E Washington Ave, Madison, WI 53704-3236 | 2018-05-30 |
| 1629599683 | Melissa Ashlee Morrison | Dentist | 7617 Mineral Point Rd Ste 120, Madison, WI 53717-1623 | 2017-06-29 |
| 1336692417 | Danielle Marie Meirick | Dentist | 434 Sidney St, Madison, WI 53703-1724 | 2016-07-26 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| Find all providers in MADISON | ||||
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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.