DR. LANCE KOJI HASHIMOTO (NPI# 1821207655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821207655 |
| Entity Type | Individual |
| Full Name | DR. LANCE KOJI HASHIMOTO |
| Credential | DDS, MS |
| Practice Address |
16650 W Bluemound Rd 400 Brookfield WI 53005-5920 |
| Mailing Address |
16515 Tia Ct Brookfield WI 53005-1371 |
| Practice Telephone | 2627822277 |
| Mailing Telephone | 2625107002 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4054-015 | WI | Dental Providers |
| Street Address |
16650 W BLUEMOUND RD 400 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025638 | Charles F. Reuben | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-05-31 |
| 1518441898 | Marie Therese Ustruck | Nurse Practitioner | 16650 W Bluemound Rd, Brookfield, WI 53005-5920 | 2018-09-21 |
| 1295229805 | Jessica Kuennen | Physician Assistant | 16650 W Bluemound Rd, Brookfield, WI 53005 | 2018-06-18 |
| 1144628033 | Benjamin Alan Lacoursiere | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2014-12-09 |
| 1336573401 | Kaitlin E Grady | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2013-08-26 |
| 1639402365 | Wisconsin Heart Group Associates LLC | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2009-09-14 |
| 1295925576 | Maria L Diener | Physician Assistant | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2007-08-01 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1841201514 | Alexei Vasilievich Agapitov | Internal Medicine | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1053587592 | Philip Ralph Mascia | Dentist | 360 Federal Rd, Brookfield, CT 06804-2426 | 2008-05-05 |
| 1710226857 | Ruchika Joon | Dentist | 360 Federal Rd, Brookfield, CT 06804-2406 | 2013-02-09 |
| 1700088614 | Kevin Patrick King | Dentist | 17280 W North Ave, Suite 202, Brookfield, WI 53045-4366 | 2007-06-03 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1417002452 | Endodontic Associates, Ltd. | Dentist | 12660 W North Ave, Building D, Brookfield, WI 53005-4633 | 2007-01-23 |
| 1477615532 | Gregory Charles Haasch | Dentist | 12660 W North Ave, Brookfield, WI 53005-4633 | 2006-12-15 |
| 1275610768 | Daniel John Nencka | Dentist | 12660 W North Ave, Brookfield, WI 53005-4633 | 2006-11-01 |
| 1154415263 | Todd Keith Engel | Dentist | 12660 W North Ave, Building D, Brookfield, WI 53005-4633 | 2006-10-03 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.