DR. MELANIE HAMMERBECK (NPI# 1831691872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831691872 |
| Entity Type | Individual |
| Full Name | DR. MELANIE HAMMERBECK |
| Other Name | DR. MELANIE HOFFMAN |
| Credential | DDS |
| Practice Address |
1756 Cardinal Ln Green Bay WI 54313 |
| Mailing Address |
1756 Cardinal Ln Green Bay WI 54313-7121 |
| Practice Telephone | 9208842808 |
| Mailing Telephone | 9208842808 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 1001720-15 | WI | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1001720-15 | WI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Shady Ln, Green Bay, WI 543139311 | 9204993721 | |
| 519 East Broadway Street, Waukeshea, WI 53186 | 2625496850 |
| Street Address |
1756 CARDINAL LN |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| 1760676183 | Richard Don Osterberg | Physical Therapist | 2052 Pinecone Cr, Green Bay, WI 54313 | 2007-08-29 |
| Find all providers in zip 54313 | ||||
| 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 |
|---|---|---|---|---|
| 1508247198 | Lauren Evan Montoure Teske | Dentist | 2000 Shady Ln, Green Bay, WI 54313-9311 | 2015-06-09 |
| 1023410123 | Lee S Bialkowski | Dentist | 2821 S Webster Ave, Green Bay, WI 54301-2878 | 2014-09-19 |
| 1922376706 | Kevin J. Wilke | Dentist | 111 Broadview Dr, Green Bay, WI 54301-2805 | 2011-12-07 |
| 1962737338 | Edward Y Lin | Dentist | 2821 S. Webster Ave., Orthodontic Specialists of Green Bay, Green Bay, WI 54301 | 2009-10-02 |
| 1386850790 | G.d. Pionek,d.d.s.,s.c. | Dentist | 1825 S Webster Ave, Suite 201, Green Bay, WI 54301-2280 | 2007-05-15 |
| 1760551857 | Mark H Hanson | Dentist | 2000 Shady Lane, Green Bay, WI 54313-9311 | 2006-11-06 |
| 1861025090 | Keith Davis | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2020-02-17 |
| 1982098323 | Jennifer Yessa | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2015-03-24 |
| 1841681525 | Farashta Sediqzad | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2015-02-17 |
| 1083817845 | Charles E Montoure | Dentist | 2000 Shady Lane, Green Bay, WI 54313-9311 | 2007-06-08 |
| Find all providers in GREEN BAY | ||||
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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.