DR. JOHN VICTOR SHEA (NPI# 1982719951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982719951 |
| Entity Type | Individual |
| Full Name | DR. JOHN VICTOR SHEA |
| Credential | DDS |
| Practice Address |
331 E Puetz Rd #106 Oak Creek WI 53154 |
| Mailing Address |
8406 Three Mile Rd Franksville WI 53126 |
| Practice Telephone | 4147681020 |
| Practice Fax Number | 4147688866 |
| Mailing Telephone | 2628354059 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3034 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33463300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961195 | John Shea | Physical Therapist | 2624 Ring Rd # 101, Elizabethtown, KY 42701-9118 | 2020-08-07 |
| 1235416231 | John Shea | Pharmacist | 4050 Us Highway 1, Jupiter, FL 33477-1123 | 2011-11-04 |
| 1639343940 | John Joseph Shea | Dentist | 23318 Olivewood Plaza Dr., Ste. A, Moreno Valley, CA 92553 | 2008-04-17 |
| 1659405645 | John W Shea Sr. | Pharmacist | 7200 Sunshine Dr S, St Petersburg, FL 33705-6152 | 2007-03-14 |
| 1245366343 | John E Shea | Psychologist | 11 Erica Cir, Hampden, MA 01036-9652 | 2007-02-26 |
| 1710083787 | John Patrick Shea | Otolaryngology | 11797 South I-35 W, #132, Burleson, TX 76028-7035 | 2006-09-16 |
| 1922306711 | John Michael Shea | Occupational Therapist | 3801 Summitview Ave, Yakima, WA 98902-2794 | 2011-03-03 |
| 1366775843 | John Shea | Counselor | 420 E Main St, Middletown, NY 10940-2516 | 2009-09-15 |
| 1760631733 | John Matthew Shea | Emergency Medicine | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2008-09-15 |
| 1720188451 | John Andrew Shea | Internal Medicine | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-23 |
| Street Address |
331 E PUETZ RD #106 |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548294259 | William W Weis | Podiatrist | 331 E Puetz Rd, #105, Oak Creek, WI 53154 | 2006-07-10 |
| 1194083493 | Neelofar Nabi | Pediatrics | 331 E Puetz Rd, Oak Creek, WI 53154-3254 | 2012-04-25 |
| 1750662813 | Mandeep Kaur Kalirao | Family Medicine | 331 E Puetz Rd, Suite 104, Oak Creek, WI 53154-3254 | 2011-09-02 |
| 1154635860 | Kristin M Lavenhagen | Physician Assistant | 331 E Puetz Rd, Lakeshore Medical Clinic, Oak Creek, WI 53154-3253 | 2010-08-05 |
| 1639374036 | Lakeshore Medical Clinic LLC | Durable Medical Equipment & Medical Supplies | 331 E Puetz Rd, Oak Creek, WI 53154-3254 | 2007-06-18 |
| 1407877319 | William Weis Dpm Sc | Podiatrist | 331 E Puetz Rd, Suite #105, Oak Creek, WI 53154-3254 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418416 | Steven R Chybowski | Dentist | 8375 S Howell Ave, #201, Oak Creek, WI 53154-8344 | 2005-06-21 |
| 1174638142 | Progressive Pediatric Dentist Sc | Dentist | 8375 S Howell Ave, #201, Oak Creek, WI 53154-8344 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1255628491 | Ronald J Pruhs | Dentist | 4120 S Lake Dr, Apt. 251, Saint Francis, WI 53235-5954 | 2011-07-08 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 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.