JOHN CARLTON WITTENSTROM (NPI# 1659340503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659340503 |
| Entity Type | Individual |
| Full Name | JOHN CARLTON WITTENSTROM |
| Credential | DDS |
| Practice Address |
6601 Lyndale Ave S Woodlake Center Suite 230 Richfield MN 55423-2477 |
| Practice Telephone | 6128619123 |
| Practice Fax Number | 6128619155 |
| Mailing Telephone | 6128619123 |
| Mailing Fax Number | 6128619155 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10082 | MN | Dental Providers |
| Street Address |
6601 LYNDALE AVE S WOODLAKE CENTER SUITE 230 |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336114644 | Joseph Shaun Hicken | Dentist | 6601 Lyndale Ave S, Suite 240, Richfield, MN 55423-2477 | 2006-02-21 |
| 1891336863 | Jesse Elaine Olson | Nurse Practitioner | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2019-10-01 |
| 1134637457 | Downtown Eyes Crosstown Pllc | Ophthalmology | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2018-01-22 |
| 1083083323 | Micah Chan | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-09-16 |
| 1356724975 | Benjamin David Larson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-07-01 |
| 1689076432 | Laura Richardson | Physical Therapist | 6601 Lyndale Ave S, #105, Richfield, MN 55423 | 2014-09-24 |
| 1962785881 | Mary C Nolan | Nurse Practitioner | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2011-09-27 |
| 1558689778 | Andrew Esten | Internal Medicine | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2010-05-12 |
| 1003043175 | Rebecca Leigh Benson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2009-06-16 |
| 1639356785 | Jan Mari Young | Physical Therapy Assistant | 6601 Lyndale Ave S, 105, Richfield, MN 55423-2477 | 2008-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| 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 |
|---|---|---|---|---|
| 1750836839 | Sevier Valley Dental | Dentist | 46 W 100 N, Richfield, UT 84701-2530 | 2016-08-18 |
| 1427428770 | Alexander Macdonald Brown | Dentist | 7500 3rd Ave S, Richfield, MN 55423-4323 | 2015-09-29 |
| 1275802092 | Mark John Modjean | Dentist | 7001 Nicollet Ave, Richfield, MN 55423-3162 | 2011-12-22 |
| 1073828620 | Helen Haewon Kim | Dentist | 6601 Lyndale Ave. S. Suite 230, Richfield, MN 55423-4843 | 2010-08-06 |
| 1912198474 | James P. Imp | Dentist | 2825 Farview Dr, Richfield, WI 53076-9712 | 2007-08-08 |
| 1811029481 | Richard J. Gromofsky Jr. | Dentist | 4336 Brecksville Rd, Suite C, Richfield, OH 44286-9457 | 2007-03-09 |
| 1477609402 | Bruce Landis Betterman | Dentist | 2010 W 66th Street, Richfield, MN 55423 | 2007-01-25 |
| 1720130826 | Pierre Rudolph Thomey | Dentist | 404 W 65th St, Richfield, MN 55423 | 2007-01-17 |
| 1285786319 | Jeffrey E Oneil Dds Pa | Dentist | 6945 Penn Avenue South Suite 101, Richfield, MN 55423 | 2007-01-17 |
| 1952467615 | Dental Health Care Center Pa | Dentist | 1717 East 66th Street, Richfield, MN 55423-2722 | 2006-12-28 |
| Find all providers in RICHFIELD | ||||
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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.