OAK CREEK DENTAL CARE LLC (NPI# 1851784599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851784599 |
Entity Type | Organization |
Organization Name | OAK CREEK DENTAL CARE LLC |
Practice Address |
132 E Drexel Ave Oak Creek WI 53154-2123 |
Practice Telephone | 4147629010 |
Practice Fax Number | 4145705492 |
Mailing Telephone | 4147629010 |
Enumeration Date | 2015-03-05 |
Last Update Date | 2015-03-05 |
Authorized Official Name | DR. DANIEL RICHARD KOESTER (OWNER/MANAGER) |
Authorized Official Telephone | 4147629010 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2481-15 | WI | Ambulatory Health Care Facilities |
Street Address |
132 E DREXEL AVE |
City | OAK CREEK |
State | WI |
Zip Code | 53154-2123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942223805 | Daniel R Koester | Dentist | 132 E Drexel Ave, Oak Creek, WI 53154-2123 | 2006-07-25 |
1427564897 | Ocdc, LLC | Clinic/Center | 132 E Drexel Ave, Oak Creek, WI 53154-2123 | 2017-12-21 |
1346553559 | Ehsan Saleki | Dentist | 132 E Drexel Ave, Oak Creek, WI 53154-2123 | 2010-07-16 |
1164593893 | Natalie Neu | Dentist | 132 E Drexel Ave, Oak Creek, WI 53154-2123 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
Find all providers in zip 53154 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013409002 | Wisconsin Oral & Maxillofacial Surgery LLC | Clinic/Center | 2603 W Rawson Ave Ste 123, Oak Creek, WI 53154-8422 | 2018-06-05 |
1225528151 | Northwest Colorado Visting Nurse Association | Clinic/Center | 300 Main Street, Oak Creek, CO 80467 | 2018-05-16 |
1427564897 | Ocdc, LLC | Clinic/Center | 132 E Drexel Ave, Oak Creek, WI 53154-2123 | 2017-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
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.