DR. JAMES EDWARD KERTIS (NPI# 1639462567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639462567 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD KERTIS |
| Credential | D.D.S. |
| Practice Address |
1212 Horton St La Crosse WI 54601-6372 |
| Mailing Address |
2157 17th St Ne Rochester MN 55906-4313 |
| Practice Telephone | 5073581765 |
| Mailing Telephone | 5073581765 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6684-15 | WI | Dental Providers |
| Street Address |
1212 HORTON ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652283 | Kevin Scott King | Dentist | 1212 Horton St, La Crosse, WI 54601-6372 | 2007-03-05 |
| 1104436088 | Katherine Joan Wang | Dentist | 1212 Horton St, La Crosse, WI 54601-6372 | 2020-08-05 |
| 1518348416 | Connie Bao | Dentist | 1212 Horton St, La Crosse, WI 54601-6372 | 2015-06-16 |
| 1649569161 | Joseph Uker | Dentist | 1212 Horton St, La Crosse, WI 54601-6372 | 2011-04-05 |
| 1780803361 | Jerry Lee Utley | Dentist | 1212 Horton St, La Crosse, WI 54601-6372 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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 |
|---|---|---|---|---|
| 1154834018 | Driftless Dental Care, LLC | Dentist | 3143 State Rd Ste 200, La Crosse, WI 54601-6964 | 2017-11-14 |
| 1346537545 | Neighborhood Smiles of Lacrosse, LLC | Dentist | 3143 State Rd Ste 201, La Crosse, WI 54601-6964 | 2011-07-07 |
| 1316268915 | Jonathan Michael Hanks | Dentist | 2 Copeland Ave, Suite 203, La Crosse, WI 54603-3400 | 2010-06-17 |
| 1083880371 | David Ralph Jahimiak | Dentist | 2137 Ward Avenue, La Crosse, WI 54601-7330 | 2008-05-06 |
| 1316079197 | Jon William Feist | Dentist | 609 Dakota St, La Crosse, WI 54603-1010 | 2007-03-09 |
| 1346389558 | Kurt Alan Dillard | Dentist | 1720 Jackson St, Suite 200, La Crosse, WI 54601 | 2007-02-05 |
| 1619043510 | Leo J Malin | Dentist | 305 3rd St S, La Crosse, WI 54601-4049 | 2006-11-24 |
| 1174623441 | Joseph Leo Kotnour | Dentist | 201 S 7th Street, La Crosse, WI 54601 | 2006-09-25 |
| 1982706743 | Russell A Fortune Dds Sc | Dentist | 1600 Losey Blvd South, La Crosse, WI 54601-6104 | 2006-09-02 |
| 1619987500 | Albert Mark Werner | Dentist | 2030 7th St S, La Crosse, WI 54601-5202 | 2006-08-09 |
| Find all providers in LA CROSSE | ||||
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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.