DR. JOEL A SUPITA (NPI# 1922051895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922051895 |
| Entity Type | Individual |
| Full Name | DR. JOEL A SUPITA |
| Credential | DDS |
| Practice Address |
519 N Us Highway 141 Crivitz WI 54114-1639 |
| Mailing Address |
W7592 E 26th Rd Crivitz WI 54114-7366 |
| Practice Telephone | 7158547545 |
| Mailing Telephone | 7158547409 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2824-015 | WI | Dental Providers |
| Street Address |
519 N US HIGHWAY 141 |
| City | CRIVITZ |
| State | WI |
| Zip Code | 54114-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548437155 | Crivitz Medical Center | Family Medicine | 213 S Hwy 141, Crivitz, WI 54114 | 2008-05-13 |
| 1306200472 | Kellen Blanck-grott | Chiropractor | 709 Dyer St, Crivitz, WI 54114 | 2016-04-05 |
| 1306048822 | Glen R Ledvina | Chiropractor | 107 N Highway 141, Crivitz, WI 54114-0008 | 2007-06-05 |
| 1306063185 | Newcare Inc | Physical Therapist | 903 Main Avenue, Crivitz, WI 54114-0460 | 2007-04-20 |
| 1700984374 | Kevin J Pepin | Dentist | 302 Hall Avenue, Crivitz, WI 54114-1442 | 2006-09-20 |
| 1780637595 | The Crivitz Rescue Squad, Inc | Ambulance | 1020 Henriette Ave, Crivitz, WI 54114-1536 | 2006-05-19 |
| 1720410038 | Virginia L Deschane | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2013-08-08 |
| 1659878122 | Erin Marie Rill | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2018-04-10 |
| 1467574236 | New Care, Inc. | Skilled Nursing Facility | 903 Main Ave, Crivitz, WI 54114-1619 | 2007-04-04 |
| 1861793622 | Chassie Le Olson | Physical Therapy Assistant | 903 Main Ave, Crivitz, WI 54114-1619 | 2010-11-10 |
| Find all providers in zip 54114 | ||||
| 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 |
|---|---|---|---|---|
| 1700984374 | Kevin J Pepin | Dentist | 302 Hall Avenue, Crivitz, WI 54114-1442 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| 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.