JEFFREY D NIELSEN (NPI# 1700915170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700915170 |
| Entity Type | Individual |
| Full Name | JEFFREY D NIELSEN |
| Credential | DDS |
| Practice Address |
3144 Van Zile Rd. Crandon WI 54520-9001 |
| Mailing Address |
222 Gruber St Antigo WI 54409-2525 |
| Practice Telephone | 7154785180 |
| Mailing Telephone | 7156233324 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2010-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5002113 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275814485 | Jeffrey Nielsen | Pharmacist | 5001 N Ten Mile Rd, Meridian, ID 83646 | 2011-08-31 |
| 1215158126 | Jeffrey Roger Nielsen | Dentist | 2456 South 120 Street, Omaha, NE 68144 | 2007-05-01 |
| 1841244787 | Jeffrey Winther Nielsen | Internal Medicine | 150 Fairview Rd Ste 110, Mooresville, NC 28117-9506 | 2006-05-22 |
| 1093996431 | Jeffrey L Nielsen | Pharmacist | 4901 N 4th Ave, Sioux Falls, SD 57104-0444 | 2007-11-14 |
| 1174715411 | Jeffrey Mark Nielsen | Physical Therapist | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2007-08-10 |
| 1801957683 | Jeffrey R Nielsen | Counselor | 810 28th St Ne, Auburn, WA 98002-2425 | 2006-12-13 |
| 1174630958 | Jeffrey Edwin Nielsen | Family Medicine | 2900 Foxfield Rd, Suite 100, Saint Charles, IL 60174-5799 | 2006-08-25 |
| 1386642593 | Jeffrey Vincent Nielsen | Surgery | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2005-07-12 |
| Street Address |
3144 VAN ZILE RD. |
| City | CRANDON |
| State | WI |
| Zip Code | 54520-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255574364 | Anne Morris Warren | Counselor | 5409 Everybody's Rd, Crandon, WI 54520 | 2009-04-20 |
| 1568643922 | Karen Mihalko | Hearing Instrument Specialist | 106 W Madison Street, Crandon, WI 54520 | 2007-11-14 |
| 1558379438 | David R Kaufman Jr. | Pharmacist | 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1114935095 | William R Pierre | Optometrist | 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1285642165 | Christopher P Skaggs | Speech-Language Pathologist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1720033186 | Frank Mraz | Family Medicine | 5409 Everybody's Road, Crandon, WI 54520 | 2006-05-24 |
| 1770978173 | Lana Winter | Counselor | 3144 Vanzile Rd, Crandon, WI 54520 | 2015-04-02 |
| 1902221989 | Anna E Lopez | Massage Therapist | 8201 Mish Ko Swen Drive, Crandon, WI 54520 | 2014-02-27 |
| 1992959654 | Lisa M Miller | Dietitian, Registered | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2008-11-07 |
| 1902814882 | Kirk R Ritchie | Dentist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| Find all providers in zip 54520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| 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.