DR. EMMANUEL IGWIKE (NPI# 1104911239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104911239 |
Entity Type | Individual |
Full Name | DR. EMMANUEL IGWIKE |
Credential | DDS |
Practice Address |
4141 W Bradley Rd Suite 214 Brown Deer WI 53209-1700 |
Practice Telephone | 4143712506 |
Mailing Telephone | 4143712506 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
5519 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33778800 | 05 |
Street Address |
4141 W BRADLEY RD SUITE 214 |
City | BROWN DEER |
State | WI |
Zip Code | 53209-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
Find all providers in zip 53209 |
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 |
---|---|---|---|---|
1851871727 | Village Dental LLC | Dentist | 4420 W Bradley Rd, Brown Deer, WI 53223-3712 | 2018-08-20 |
1427365394 | Kathleen Frances Himden | Dentist | 6051 W Brown Deer Rd Ste 203w, Brown Deer, WI 53223-2263 | 2010-09-13 |
1437240660 | Bruce Gilbert Newman | Dentist | 4455 W Bradley Rd, 207, Brown Deer, WI 53223-3763 | 2006-09-26 |
1790178069 | Robert Feinman | Dentist | 6051 W Brown Deer Rd, Ste 203w, Brown Deer, WI 53223-2263 | 2015-03-11 |
1851607600 | Bradley Family Dental Group, Inc. | Dentist | 5600 W Brown Deer Rd, Suite G5, Brown Deer, WI 53223-2311 | 2010-08-30 |
1780739789 | Monica Louise Bischoff | Dentist | 6051 W Brown Deer Rd, Brown Deer, WI 53223-2263 | 2007-01-23 |
1902999253 | Richard L Siegel | Dentist | 6051 W Brown Deer Rd, 204, Brown Deer, WI 53223-2263 | 2006-10-01 |
1457463986 | Kenneth James Zganjar | Dentist | 6051 W Brown Deer Rd, Suite 201, Brown Deer, WI 53223-2263 | 2006-08-31 |
1205842663 | Feinman & Himden D.d.s., S.c. | Dentist | 6051 W Brown Deer Rd, Suite 203w, Brown Deer, WI 53223-2263 | 2006-07-31 |
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 |
City | BROWN DEER |
Zip Code | 53209 |
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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.