TRAVIS HANEL (NPI# 1942380563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942380563 |
| Entity Type | Individual |
| Full Name | TRAVIS HANEL |
| Credential | DDS |
| Practice Address |
205 W Johnson Ave Ste 3 Warren MN 56762-1118 |
| Mailing Address |
205 W Johnson Ave Ste. 3 Warren MN 56762-1118 |
| Practice Telephone | 2187454601 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12024 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 473990600 | 05 |
| Street Address |
205 W JOHNSON AVE STE 3 |
| City | WARREN |
| State | MN |
| Zip Code | 56762-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699730036 | Stacey Jean Bienek | Optometrist | 205 W Johnson Ave, Suite 1, Warren, MN 56762-1118 | 2006-04-19 |
| 1053739698 | Lone Oak Family Dentistry | Dentist | 205 W Johnson Ave, Ste. 3, Warren, MN 56762-1118 | 2014-04-01 |
| 1447583778 | Lone Oak Family Dentistry | Exclusive Provider Organization | 205 W Johnson Ave, Suite 3, Warren, MN 56762-1118 | 2009-09-18 |
| 1891995460 | Warren Eye Care, P.C. | Optometrist | 205 W Johnson Ave, Suite #1, Warren, MN 56762-1118 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881820322 | Marshall County Social Services | Case Manager/Care Coordinator | 208 E Colvin Ave., Suite 14, Warren, MN 56762 | 2009-06-10 |
| 1215045604 | Mark Alan Pederson | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-27 |
| 1598875171 | Family Chiropractic of Warren Inc | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-30 |
| 1336151257 | Michelle Marie Woinarowicz | Internal Medicine | 109 S Minnesota St, North Valley Health Center Clinic, Warren, MN 56762 | 2006-08-12 |
| 1003092206 | Anita Whalen | Dentist | 508 North Minnesota Street, Warren, MN 56762-0093 | 2008-01-17 |
| 1871508481 | Warren Pharmacy Inc | Pharmacy | 103 W Johnson Ave, Warren, MN 56762-1102 | 2006-07-30 |
| 1801436852 | Addison Allen Knutson | Chiropractor | 603 N Main St, Warren, MN 56762-1122 | 2020-01-07 |
| 1245791763 | Midwest Regenerative Medicine Center PC | Clinic/Center | 603 N Main St, Warren, MN 56762-1122 | 2019-03-27 |
| 1073516357 | Warren Community Hospital, Inc. | Clinic/Center | 300 W Good Samaritan Dr, Warren, MN 56762-1412 | 2005-05-31 |
| 1700404886 | Nicole Rose Steien | Nurse Practitioner | 300 W Good Samaritan Dr, Warren, MN 56762-1412 | 2020-07-06 |
| Find all providers in zip 56762 | ||||
| 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 |
|---|---|---|---|---|
| 1578177713 | Warren Family Dentistry | Dentist | 11250 E 13 Mile Rd Ste 3, Warren, MI 48093-2597 | 2020-09-04 |
| 1144847294 | Rezan Doku | Dentist | 11552 E 12 Mile Rd Ste 105, Warren, MI 48093-2644 | 2020-07-06 |
| 1710449459 | Benjamin J Underwood Dds LLC | Dentist | 6213 Chicago Rd Ste 100, Warren, MI 48092-1697 | 2019-04-02 |
| 1902341233 | George C. Ploumbis, Dds, Inc. | Dentist | 2239 E Market St, Warren, OH 44483-6105 | 2016-12-22 |
| 1023491586 | A1 Family Dentistry,plc | Dentist | 30205 Schoenherr Rd Ste E, Warren, MI 48088-6800 | 2015-07-02 |
| 1013250026 | Warren Dental Group, David M Raiffe, Dds, Mba, Inc | Dentist | 1019 N Park Ave, Warren, OH 44483-3725 | 2013-03-28 |
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1558636936 | Soft Care Dental Group | Dentist | 108 Town Center Dr, Warren, NJ 07059-5692 | 2012-03-18 |
| 1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
| 1801054085 | Oleg Doubrovski | Dentist | 4265 E 10 Mile Rd, Warren, MI 48091-1578 | 2008-05-24 |
| Find all providers in WARREN | ||||
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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.