MS. KATHLEEN MARY ENDRES


Address: 1223 Darlene Dr, Menasha, WI 54952-1829
Phone: 9204701450

MS. KATHLEEN MARY ENDRES (NPI# 1003090895) 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) 1003090895
Entity Type Individual
Full Name MS. KATHLEEN MARY ENDRES
Credential R.D.H
Practice Address 1223 Darlene Dr
Menasha
WI 54952-1829
Practice Telephone 9204701450
Mailing Telephone 9204701450
Enumeration Date 2007-12-28
Last Update Date 2007-12-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 5775-016 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 33814800 05

Office Location

Street Address 1223 DARLENE DR
City MENASHA
State WI
Zip Code 54952-1829

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275776239 Sharon Louise Crowe Dental Hygienist 1814 North Appleton Road, Menasha, WI 54952 2009-04-07
1003056110 Nicole Marie Guyette Dental Hygienist 814 N. Appleton Road, Menasha, WI 54952 2009-03-02
1760627624 Jan Charles Sarnecki Orthopaedic Surgery 1814 N. Appleton Road, Menasha, WI 54952 2008-12-08
1588828297 Lesley R Lathrop Registered Nurse 1764 Oakridge Court, Menasha, WI 54952 2008-07-11
1699965137 Lisa Randerson Counselor 1427c Province Terrace, Menasha, WI 54952 2007-07-31
1689748675 Lisa Lynn Lang Riegel Dentist 1155 Wittman Drive, Menasha, WI 54952 2006-11-20
1164596144 Robert Charles Lang Dentist 1155 Wittmann Drive, Menasha, WI 54952 2006-11-20
1366527947 Karen Patricia Schmidt Case Manager/Care Coordinator 1810 Appleton Road, Menasha, WI 54952 2006-10-25
1376647388 Goodwill Industries of North Central Wi Counselor 1800 Appleton Road, Menasha, WI 54952 2006-09-11
1386135614 Leslie J Steckbauer Counselor 1095 Midway Rd, Menasha, WI 54952 2018-05-22
Find all providers in zip 54952

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
1275776239 Sharon Louise Crowe Dental Hygienist 1814 North Appleton Road, Menasha, WI 54952 2009-04-07
1003056110 Nicole Marie Guyette Dental Hygienist 814 N. Appleton Road, Menasha, WI 54952 2009-03-02
1760783807 Debra Lee Mickelson Dental Hygienist 1814 Appleton Rd, Menasha, WI 54952-1110 2010-11-05
1871803361 Lisa M. Kositzke Dental Hygienist 1814 Appleton Rd, Menasha, WI 54952-1110 2010-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1659983914 Rachel Benck Dental Hygienist 1089 174th St, Hammond, WI 54015-4831 2020-08-18
1619594710 Vanessa Jane Loertscher Dental Hygienist 103 W. Mcmillan St., Marshfield, WI 54449-3502 2020-07-06
1881242535 Michelle Amanda Shalander Dental Hygienist 308 S 1st Street, Luck, WI 54853 2019-08-27
1689130437 Theresa Marcie Mock Dental Hygienist 8669 Airport Rd, Middleton, WI 53562-4147 2019-02-18
1598229866 Tonya Marie Evjen Dental Hygienist N3615 County Road G, Ladysmith, WI 54848-9389 2019-01-30
1922571884 Erin Kaye Fandre Dental Hygienist 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 2019-01-03
1790256246 Heather Renee Walker Dental Hygienist 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 2018-12-10
1730657974 Anne Chianello Dental Hygienist 11643 47th Ave, Pleasant Prairie, WI 53158-3618 2018-11-06
1891263216 Stephanie Rice Dental Hygienist N4008 Morgan Dr, Waupaca, WI 54981 2018-11-03
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Competitor

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City MENASHA
Zip Code 54952

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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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