DIANE COLETTE KOTHERA


Address: 2906 S 20th St, Milwaukee, WI 53215-3732
Phone: 4148975193

DIANE COLETTE KOTHERA (NPI# 1982194700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982194700
Entity Type Individual
Full Name DIANE COLETTE KOTHERA
Credential RDH
Practice Address 2906 S 20th St
Milwaukee
WI 53215-3732
Mailing Address 311 E Erie St Unit 317
Milwaukee
WI 53202-6046
Practice Telephone 4148975193
Mailing Telephone 4143792593
Enumeration Date 2018-05-16
Last Update Date 2018-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 5122-16 WI Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1032 S 16th St, Milwaukee, WI 532042203 4146721353

Office Location

Street Address 2906 S 20TH ST
City MILWAUKEE
State WI
Zip Code 53215-3732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225871 Emilia Isabel Arana Pediatrics 2906 S 20th St, Milwaukee, WI 53215-3732 2005-06-17
1558976910 Angela M Aviles-soto Registered Nurse 2906 S 20th St, Milwaukee, WI 53215-3732 2020-09-12
1376161471 Ivonne Rosado Nurse Practitioner 2906 S 20th St, Milwaukee, WI 53215-3732 2020-07-06
1609426956 Aja Nicole Aviles-soto Advanced Practice Midwife 2906 S 20th St, Milwaukee, WI 53215-3732 2019-09-18
1720640329 Sharais Alvarado Counselor 2906 S 20th St, Milwaukee, WI 53215-3732 2019-07-03
1164994497 Margaret E Gonzalez Social Worker 2906 S 20th St, Milwaukee, WI 53215-3732 2018-12-27
1790276517 Esmeralda Robelo Campos Physician Assistant 2906 S 20th St, Milwaukee, WI 53215-3732 2018-05-29
1225549066 Patricia Dequardo Dental Hygienist 2906 S 20th St, Milwaukee, WI 53215-3732 2017-10-19
1144742750 Anna M Guerrero Nurse Practitioner 2906 S 20th St, Milwaukee, WI 53215-3732 2017-07-14
1568847986 Sana Mazher Internal Medicine 2906 S 20th St, Milwaukee, WI 53215-3732 2015-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841829918 Joshua Michael Brooks Student in an Organized Health Care Education/Training Program Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 2020-04-02
1053967091 Kristina Strupp Clinical Nurse Specialist 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 2019-08-15
1427510296 Madelyn Pickle Student in an Organized Health Care Education/Training Program 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 2019-04-02
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457872673 Canzata Kimberly Dent Counselor 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 2017-06-28
1538689955 Christian Pena Durable Medical Equipment & Medical Supplies 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 2017-06-27
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1811443492 Thomas Diamond Physical Therapist 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 2016-09-01
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1992105621 Nicole R Hall Nurse Practitioner 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 2014-08-29
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760850614 Michelle Boettcher Dental Hygienist 2552 S Brisbane Ave, Milwaukee, WI 53207-1502 2015-09-09
1093110058 Florina Pinskaya Dental Hygienist 4302 N 76th St, Milwaukee, WI 53222-2004 2014-11-01
1699192948 Elizabeth S Dietzler Dental Hygienist 4619 W Blue Mound Ct, Milwaukee, WI 53208-3607 2014-03-25
1508188764 Oleesa Shapowal Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2010-02-15
1033360763 Kory Pilkington Dental Hygienist 1308 S. Cesar Chavez Drive, Milwaukee, WI 53204-0408 2008-09-30
1477725786 Gina L Tolson Dental Hygienist 2669 N 92nd St, Milwaukee, WI 53226-1800 2008-03-26
1215020128 Sharon Wildes Dental Hygienist Milwaukee Vamc Dental Clinic, 5000 National Ave, Milwaukee, WI 53295-0001 2006-10-02
1255360632 Carol Lynn Bright Dental Hygienist 1135 South Cesar Chavez Drive, Milwaukee, WI 53204 2006-06-30
1790781185 Michele Straetz Dental Hygienist 2306 S Kinnickinnic Ave, Milwaukee, WI 53207-1626 2005-06-22
1336748516 Amber M Randle Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2020-10-20
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Competitor

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City MILWAUKEE
Zip Code 53215

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Dataset Information

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.

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