STACEY LEE BISENIUS (NPI# 1386708378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386708378 |
| Entity Type | Individual |
| Full Name | STACEY LEE BISENIUS |
| Credential | R.D.H. |
| Practice Address |
15397 State Hwy 32 Lakewood WI 54138 |
| Mailing Address |
Po Box 179 Lakewood WI 54138-0179 |
| Practice Telephone | 7152766321 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6563016 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33805900 | 05 |
| Street Address |
15397 STATE HWY 32 |
| City | LAKEWOOD |
| State | WI |
| Zip Code | 54138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
| 1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
| 1407961402 | Leslee A Granke | Registered Nurse | 15397 State Highway 32, Lakewood, WI 54138 | 2006-08-20 |
| 1750376968 | Blake J Edinger | Dentist | 15397 State Highway 32, Lakewood, WI 54138 | 2005-09-14 |
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| 1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
| 1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
| 1588975908 | Orthopedic & Spine Therapy of Lakewood, Sc | Durable Medical Equipment & Medical Supplies | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-30 |
| 1235458894 | Lakewood Assisted Living, LLC | Assisted Living Facility | 17185 Flynn Ln, Lakewood, WI 54138-9593 | 2010-05-21 |
| 1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
| Find all providers in zip 54138 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1114431582 | Angelina Rodriquez | Dental Hygienist | 1200 S Wadsworth Blvd Ste 200, Lakewood, CO 80232-5434 | 2017-11-21 |
| 1477062560 | Candra Thomas | Dental Hygienist | 8101 83rd Ave Sw Apt D33, Lakewood, WA 98498-7602 | 2017-09-21 |
| 1730606534 | Mqm Consulting, LLC | Dental Hygienist | 407 Garland St, Lakewood, CO 80226-1062 | 2017-08-23 |
| 1073040028 | Tiffany Jene Schroeder | Dental Hygienist | 255 Union Blvd Ste 410, Lakewood, CO 80228-1852 | 2017-05-20 |
| 1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
| 1932532223 | Patricia Andres Meller | Dental Hygienist | 5622 Montair Ave, Lakewood, CA 90712-2051 | 2013-08-09 |
| 1154692051 | Brandon D Visscher Dmd Pllc | Dental Hygienist | 1726 Cole Blvd, Suite 140, Lakewood, CO 80401-3213 | 2012-01-24 |
| 1376746792 | Pierce College | Dental Hygienist | 9401 Farwest Drive Sw, Lakewood, WA 98498-1999 | 2007-06-06 |
| Find all providers in LAKEWOOD | ||||
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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.