CHEYENNE PERIODONTICS, PC (NPI# 1326127234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326127234 |
| Entity Type | Organization |
| Organization Name | CHEYENNE PERIODONTICS, PC |
| Practice Address |
1401 Airport Pkwy Suite 110 Cheyenne WY 82001-1518 |
| Practice Telephone | 3076324574 |
| Practice Fax Number | 3076324574 |
| Mailing Telephone | 3076324574 |
| Mailing Fax Number | 3076324574 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-09-22 |
| Authorized Official Name | DR. JOHN C. VAN GINKEL (DENTIST) |
| Authorized Official Telephone | 3076324574 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
890 | WY | Dental Providers |
| Street Address |
1401 AIRPORT PKWY SUITE 110 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518946169 | Jason L Bird | Dentist | 1401 Airport Pkwy, 140, Cheyenne, WY 82001-1518 | 2006-01-12 |
| 1619335627 | Steven D. Newman, Psy.d, Abpp, PC | Psychologist | 1401 Airport Pkwy, Suite 120, Cheyenne, WY 82001-1518 | 2016-02-04 |
| 1689928384 | Paul J Steele | Dentist | 1401 Airport Pkwy, Suite 130, Cheyenne, WY 82001-1518 | 2012-11-01 |
| 1134303068 | Beyond 20/20 | Optometrist | 1401 Airport Pkwy, Suite 120, Cheyenne, WY 82001-1518 | 2007-12-27 |
| 1235333667 | Chaitra Wirta-leiker | Psychologist | 1401 Airport Pkwy, Suite 120, Cheyenne, WY 82001-1518 | 2007-06-11 |
| 1467579680 | Paul J. Steele, D.d.s.,p.c. | Dentist | 1401 Airport Pkwy, Suite 130, Cheyenne, WY 82001-1518 | 2007-03-23 |
| 1568514743 | Kristen D Washburn | Audiologist | 1401 Airport Pkwy, Suite 230, Cheyenne, WY 82001-1518 | 2007-01-17 |
| 1760543979 | Steven Newman | Psychologist | 1401 Airport Pkwy, Suite 120, Cheyenne, WY 82001-1518 | 2006-12-12 |
| 1902982226 | John C Van Ginkel | Dentist | 1401 Airport Pkwy, Suite 110, Cheyenne, WY 82001-1518 | 2006-10-29 |
| 1265441430 | Jonathan Singer | Neuromusculoskeletal Medicine & OMM | 1401 Airport Pkwy, Suite 200, Cheyenne, WY 82001-1518 | 2006-08-06 |
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|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| 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 |
|---|---|---|---|---|
| 1902982226 | John C Van Ginkel | Dentist | 1401 Airport Pkwy, Suite 110, Cheyenne, WY 82001-1518 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568682011 | Michael Asay Davis | Dentist | 5850 E 2nd St, Ste 100, Casper, WY 82609-4342 | 2007-04-26 |
| 1851428536 | David Kenneth Okano | Dentist | 1208 Hilltop Dr Ste 209, Rock Springs, WY 82901-5860 | 2007-02-28 |
| 1245313790 | Richard Everett Dayton | Dentist | 643 South Durbin, Casper, WY 82601-3151 | 2006-10-20 |
| 1881950954 | Davis Periodontics | Dentist | 5850 E 2nd St, Ste 100, Casper, WY 82609-4342 | 2012-04-03 |
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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.