HURST CANDID WISCONSIN, SERVICE CORPORATION (NPI# 1376150482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376150482 |
| Entity Type | Organization |
| Organization Name | HURST CANDID WISCONSIN, SERVICE CORPORATION |
| Practice Address |
345 W Washington Ave Madison WI 53703-2996 |
| Practice Telephone | 8604817631 |
| Mailing Telephone | 8604817631 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | CHESTER LYNN HURST (DDS) |
| Authorized Official Telephone | 8604817631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
345 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124530 | Gena M Vankirk | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2005-06-14 |
| 1609398080 | Lizabeth Kostelny | Social Worker | 345 W Washington Ave, Floor 5, Madison, WI 53703 | 2017-07-07 |
| 1831634047 | Rachel Helen Kelly | Physician Assistant | 345 W Washington Ave, Suite 100, Madison, WI 53703-2996 | 2016-12-23 |
| 1447615844 | April Kamnetz | Social Worker | 345 W Washington Ave, 501, Madison, WI 53703-2996 | 2015-12-30 |
| 1578959391 | Adam Howarth | Social Worker | 345 W Washington Ave, Suite 501, Madison, WI 53703-2996 | 2015-04-08 |
| 1811380033 | Kelly S Lutzen | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2015-03-12 |
| 1942698618 | Elizabeth Gokey | Social Worker | 345 W Washington Ave, Suite 501, Madison, WI 53703-2996 | 2015-01-05 |
| 1407268634 | Gregory Raupp | Social Worker | 345 W Washington Ave, Madison, WI 53703-2996 | 2014-05-22 |
| 1508296765 | Michelle Harnisch | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2013-11-25 |
| 1356652366 | Terryann Chrudimsky | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154555282 | Orthodontic Care of Georgia | Dentist | 1690 Eatonton Rd, Madison, GA 30650-4628 | 2009-05-04 |
| 1336382845 | James Russell Durham | Dentist | 7559c Highway 72 West, Suite 105, Madison, AL 35758-8812 | 2009-04-14 |
| 1851507248 | William Koenig | Dentist | 2040 Hubbard Rd, Madison, OH 44057-2566 | 2007-05-15 |
| 1497809537 | Marion Garr Doyle | Dentist | 624 W Due West Ave, Madison, TN 37115-4402 | 2007-01-23 |
| 1942358635 | Damian O. Fennig | Dentist | 5520 Medical Cir, Madison, WI 53719-1226 | 2007-01-08 |
| 1164599791 | Steven D. Peterson | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2006-11-29 |
| 1760559025 | Kenneth Noel Reed Jr. | Dentist | 451 Pebble Creek Drive, Madison, MS 39110 | 2006-11-29 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1902919012 | James Edwin Hatcher | Dentist | 581 Hughes Rd, Madison, AL 35758 | 2006-08-16 |
| 1821008756 | James E Paschal Jr. | Dentist | 153 W Washington St, Madison, GA 30650-1218 | 2006-08-09 |
| 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.