DOUGLAS D PODOLL DDS DC (NPI# 1568566057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568566057 |
| Entity Type | Organization |
| Organization Name | DOUGLAS D PODOLL DDS DC |
| Practice Address |
404 Wisconsin Ave Amery WI 54001 |
| Practice Telephone | 7152688109 |
| Practice Fax Number | 7152684620 |
| Mailing Telephone | 7152688109 |
| Mailing Fax Number | 7152684620 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS D PODOLL (PRESIDENT) |
| Authorized Official Telephone | 7152688109 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3237 | WI | Dental Providers |
| Street Address |
404 WISCONSIN AVE |
| City | AMERY |
| State | WI |
| Zip Code | 54001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538606694 | Jacqueline Peterson | Chiropractor | 404 Wisconsin Ave, Amery, WI 54001-1071 | 2017-01-27 |
| 1093194185 | Kristo Ltd | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1071 | 2015-05-22 |
| 1023418902 | Amy Grace Ott | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1071 | 2014-08-28 |
| 1851514103 | Dental Arts S.c. | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1058 | 2007-04-11 |
| 1558491464 | Thomas Paul Vansomeren | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1058 | 2007-03-07 |
| 1770613093 | James J Lampi | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1058 | 2007-03-06 |
| 1851421283 | David Paul Doroff | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1058 | 2007-03-06 |
| 1609906908 | Robert A Johansen | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1058 | 2007-03-06 |
| 1003952607 | Douglas D Podoll | Dentist | 404 Wisconsin Ave, Amery, WI 54001 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313424 | Heather Rose Marks | Dentist | 1030 Riverplace Drive, Amery, WI 54001 | 2011-06-14 |
| 1003142803 | Linda Christine Mueller | Counselor | 236 Griffin, Amery, WI 54001 | 2009-10-29 |
| 1952538548 | Samantha E. Kealey | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2009-06-22 |
| 1578753448 | Bethann M Monson | Occupational Therapy Assistant | 220 N Keller Avene, Amery, WI 54001 | 2007-07-27 |
| 1912109851 | Jill R. Ladwig | Physical Therapy Assistant | 220 Keller Avenue, Amery, WI 54001 | 2007-06-04 |
| 1376601674 | Nancy A Reinhardt | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| 1093873390 | Jessica L Bradford | Occupational Therapist | 505 Keller Ave Sq, Amery, WI 54001 | 2006-12-05 |
| 1548354244 | A Touch of Life Inc. | Chiropractor | 308 North Keller Avenue, Amery, WI 54001 | 2006-10-03 |
| 1275928616 | Maria Finke | Emergency Medicine | 265 Griffin St E, Amery, WI 54001 | 2015-04-02 |
| 1790170280 | Elizabeth Robinson | Emergency Medicine | 265 Griffin St E, Amery, WI 54001 | 2015-04-01 |
| Find all providers in zip 54001 | ||||
| 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 |
|---|---|---|---|---|
| 1093194185 | Kristo Ltd | Dentist | 404 Wisconsin Ave, Amery, WI 54001-1071 | 2015-05-22 |
| 1003952607 | Douglas D Podoll | Dentist | 404 Wisconsin Ave, Amery, WI 54001 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488075 | Kristo Ltd | Dentist | 440 Chestnut St # 100, Wisconsin Rapids, WI 54494-4807 | 2020-02-11 |
| 1578104006 | Daniela Amaya Fuenmayor | Dentist | 11011 W North Ave Apt 367, Wauwatosa, WI 53226-2271 | 2019-10-07 |
| 1295382992 | Noble Orthodontics, LLC | Dentist | 109 N Dodge St, Burlington, WI 53105-1918 | 2019-08-19 |
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1811498561 | Orthodontic Specialists of Onalaska and The Coulee Region | Dentist | 2747 National Dr, Onalaska, WI 54650-8784 | 2018-02-27 |
| 1508247198 | Lauren Evan Montoure Teske | Dentist | 2000 Shady Ln, Green Bay, WI 54313-9311 | 2015-06-09 |
| 1588042154 | Bubon & Associates, Orthodontics, Sc | Dentist | 4950 S 27th St, Milwaukee, WI 53221-2606 | 2015-05-14 |
| 1235517897 | 1bubon & Associates, Orthodontics, Sc | Dentist | 1701 N Mayfair Rd, Suite C, Wauwatosa, WI 53226-3046 | 2015-05-14 |
| 1851779417 | Bubon & Associates, Orthodontics, Sc | Dentist | W188s7830 Racine Ave, Suite 300, Muskego, WI 53150-8290 | 2015-05-14 |
| 1578941548 | Bubon & Associates, Orthodontics, Sc | Dentist | N4w21680 Bluemound Rd, Waukesha, WI 53186-2943 | 2015-05-11 |
| Find all providers with the same taxonomy | ||||
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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.