ECHO RIDGE DENTAL CLINIC (NPI# 1861848293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861848293 |
| Entity Type | Organization |
| Organization Name | ECHO RIDGE DENTAL CLINIC |
| Practice Address |
2140 S Ridge Rd Green Bay WI 54304-4357 |
| Practice Telephone | 9204947464 |
| Mailing Telephone | 9204947464 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | RAYMOND SCHNEIDER III (DENTIST/OWNER) |
| Authorized Official Telephone | 9204947464 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1223G0001X | WI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063622645 | Echo Ridge Dental Clinic | Dentist | 2140 S. Ridge Rd., Green Bay, WI 54304 | 2007-05-23 |
| Street Address |
2140 S RIDGE RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114937513 | Raymond L Schneider IIi | Dentist | 2140 S Ridge Rd, Green Bay, WI 54304-4357 | 2006-08-08 |
| 1699939884 | Michael Paul Damrow | Dentist | 2140 S Ridge Rd, Green Bay, WI 54304-4357 | 2008-07-16 |
| 1821008228 | Paul M Feit | Dentist | 2140 S Ridge Rd, Green Bay, WI 54304-4357 | 2006-08-08 |
| 1447260849 | Jean Horak | Dentist | 2140 S Ridge Rd, Green Bay, WI 54304-4357 | 2006-08-08 |
| 1326058728 | Raymond L Schneider II | Dentist | 2140 S Ridge Rd, Green Bay, WI 54304-4357 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639568603 | Kenneth C. Clark Dds,ms | Clinic/Center | 2524 Hillside Heights Dr, Green Bay, WI 54311-6777 | 2015-01-14 |
| 1851423354 | Dr John J Quinlan S.c. | Clinic/Center | 2550 Glendale Ave, Green Bay, WI 54313-6849 | 2007-03-10 |
| 1225525959 | Meadowbrook Smiles | Clinic/Center | 2550 Glendale Ave, Green Bay, WI 54313-6849 | 2018-04-18 |
| 1801305271 | Willow Cove Dental, LLC | Clinic/Center | 1195 W Mason St, Green Bay, WI 54303-2045 | 2017-09-28 |
| 1972793818 | Northeast Wisconsin Technical College | Clinic/Center | 2740 W Mason St, Green Bay, WI 54303-4966 | 2007-07-26 |
| 1720118854 | Lombardi Dental, LLC | Clinic/Center | 1400 Lombardi Ave, Suite 50, Green Bay, WI 54304-3922 | 2007-03-07 |
| 1326173006 | Dental Arts Associates of Green Bay Ltd | Clinic/Center | 1711 Shawano Ave, Green Bay, WI 54303 | 2007-02-22 |
| 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.