DR. KIRSTEN J HENSHAW (NPI# 1558845123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558845123 |
Entity Type | Individual |
Full Name | DR. KIRSTEN J HENSHAW |
Credential | DMD |
Practice Address |
3100 E Eisenhower Pkwy Ann Arbor MI 48108-5205 |
Mailing Address |
3100 E Eisenhower Pkwy Ste 300 Ann Arbor MI 48108-5205 |
Practice Telephone | 7349713450 |
Mailing Telephone | 6302929302 |
Enumeration Date | 2018-09-19 |
Last Update Date | 2018-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 2901022770 | MI | Dental Providers |
Street Address |
3100 E EISENHOWER PKWY |
City | ANN ARBOR |
State | MI |
Zip Code | 48108-5205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962473637 | Roger Anderberg | Pediatrics | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-01-30 |
1013379890 | Mimika Stefos | Dentist | 3100 E Eisenhower Pkwy, #300, Ann Arbor, MI 48108-5205 | 2016-03-22 |
1306014816 | Ann Arbor Dental Specialists | Dentist | 3100 E Eisenhower Pkwy, Suite 200, Ann Arbor, MI 48108-5205 | 2008-02-19 |
1972641512 | Janice Grichor | Dietitian, Registered | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2007-02-04 |
1528111077 | Patricia Hall | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2007-01-19 |
1427121060 | Madelyn Mcmurtrie | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-11-15 |
1891893855 | Virginia Bareham | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-09-20 |
1568560605 | Vicki Zilke | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-09-20 |
1114939931 | Steven Popper | Pediatrics | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-08-12 |
1659383479 | Stacy Walters | Pediatrics | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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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 |
---|---|---|---|---|
1023635232 | Mamatha Valishetty | Dentist | 2776 Sagebrush Cir Apt 106, Ann Arbor, MI 48103-8776 | 2020-07-03 |
1144846171 | Leah Baldinger | Dentist | 1500 E Medical Center Dr Spc 5222, Ann Arbor, MI 48109-5222 | 2020-06-25 |
1700446879 | Nathalia Paiva De Andrade | Dentist | 1011 N University Ave # 1324, Ann Arbor, MI 48109-1078 | 2019-06-19 |
1801456173 | Suzette Damarlie Laing | Dentist | 1011 N University Ave Rm 1324, Ann Arbor, MI 48109-1078 | 2019-06-18 |
1851959241 | Catherine Haviland | Dentist | 1011 N University Ave Spc 1078, Ann Arbor, MI 48109-1078 | 2019-05-31 |
1801372008 | Joseph Fazzio | Dentist | 465 Harbor Way, Ann Arbor, MI 48103-6666 | 2018-07-11 |
1255824371 | Sergio Fabian Calleja Blanco | Dentist | 917 S Forest Ave, Ann Arbor, MI 48104-3542 | 2018-06-13 |
1669965257 | Tarek Nabil Metwally | Dentist | Michigan Medicine, University of Michigan Dept of Omfs, 1515 Hospital Dr. G1218 Towsley, Spc 5222, Ann Arbor, MI 48109-5222 | 2018-06-08 |
1326551011 | Ali Bushahri | Dentist | 1011 North University, Ann Arbor, MI 48109-1078 | 2017-11-16 |
1689193278 | Ennis Malik Bedair | Dentist | 1500 E. Medical Center Dr., Med Inn C213a, Ann Arbor, MI 48109 | 2017-09-14 |
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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.