APPLEWHITE DENTAL WISCONSIN, P.C. (NPI# 1861046047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861046047 |
| Entity Type | Organization |
| Organization Name | APPLEWHITE DENTAL WISCONSIN, P.C. |
| Other Organization Name | NORTHSIDE KENOSHA DENTAL |
| Practice Address |
2600 22nd Ave Kenosha WI 53140-4813 |
| Mailing Address |
40 Main St Ste 100 Dubuque IA 52001-7654 |
| Practice Telephone | 2626581410 |
| Mailing Telephone | 5635821448 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | SHARON L LOSO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5635821448 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPLEWHITE DENTAL PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Northside Kenosha Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127856 | Applewhite Dental Wisconsin, P.C. | Dentist | 1001 N Gammon Rd Ste 1, Middleton, WI 53562-3874 | 2019-07-26 |
| 1649824830 | Applewhite Dental Wisconsin, P.C. | Dentist | 5610 Medical Cir Ste 10, Madison, WI 53719-1284 | 2019-07-26 |
| 1154817740 | Applewhite Dental Wisconsin, P.C. | Dentist | 4010 S Church Dr, New Berlin, WI 53151-5608 | 2018-07-06 |
| 1285288464 | Applewhite Dental Wisconsin, P.C. | Dentist | 1125 Stephenson Ln, Waunakee, WI 53597-2516 | 2019-07-26 |
| 1922652106 | Applewhite Dental Wisconsin, P.C. | Dentist | 4925 Monona Dr, Monona, WI 53716-2634 | 2019-07-26 |
| 1437638103 | Applewhite Dental Wisconsin, P.C. | Dentist | 1231 George Towne Dr Ste D, Pewaukee, WI 53072-2756 | 2018-08-13 |
| 1245726835 | Applewhite Dental Wisconsin, P.C. | Dentist | 1001 N Sherman Ave, Madison, WI 53704-4232 | 2018-07-06 |
| 1235625823 | Applewhite Dental Wisconsin, P.C. | Dentist | 226 W Cottage Grove Rd, Cottage Grove, WI 53527-9620 | 2018-07-06 |
| Street Address |
2600 22ND AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316063530 | Michael Anthony Walsh | Dentist | 2600 22nd Ave, Kenosha, WI 53140-4813 | 2007-03-21 |
| 1841786282 | Anne R Lakayil | Dentist | 2600 22nd Ave, Kenosha, WI 53140-4813 | 2018-07-09 |
| 1841404704 | Michael A Walsh Dds Sc | Dentist | 2600 22nd Ave, Kenosha, WI 53140 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| 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 |
|---|---|---|---|---|
| 1205364197 | Kenosha Dentist LLC | Dentist | 5455 Sheridan Rd Ste 201, Kenosha, WI 53140-3752 | 2017-05-23 |
| 1154782209 | Familia Dental Kenosha LLC | Dentist | 6430 Green Bay Rd, Ste 112, Kenosha, WI 53142-2948 | 2016-03-17 |
| 1831365907 | Martha C. Villasenor | Dentist | 7177 W. Green Bay Rd., 7177 W. Green Bay Rd., Kenosha, WI 53142-1450 | 2008-05-07 |
| 1649464090 | Vincent C Rizzo | Dentist | 7536 39th Avenue, Kenosha, WI 53142 | 2007-08-29 |
| 1972793099 | Robert C. Salituro | Dentist | 3515 75th St, Kenosha, WI 53142-7224 | 2007-07-25 |
| 1821292806 | Robert Stephen Willding | Dentist | 7003 39th Avenue, Kenosha, WI 53142-7132 | 2007-06-13 |
| 1578782520 | Todd Armstrong | Dentist | 7910 39th Ave, Kenosha, WI 53142-2132 | 2007-04-25 |
| 1316063530 | Michael Anthony Walsh | Dentist | 2600 22nd Ave, Kenosha, WI 53140-4813 | 2007-03-21 |
| 1497889216 | Luigi A Caira | Dentist | 4320 60th St, Kenosha, WI 53144-2577 | 2007-03-15 |
| 1740314293 | Charles Marquiss Ashley | Dentist | 7505 38th Ave, Kenosha, WI 53142-4341 | 2007-03-15 |
| Find all providers in KENOSHA | ||||
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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.