MORRIS JOSE DE LEON ANDRINO (NPI# 1164713806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164713806 |
| Entity Type | Individual |
| Full Name | MORRIS JOSE DE LEON ANDRINO |
| Credential | DDS |
| Practice Address |
11711 W Burleigh St Wauwatosa WI 53222-3108 |
| Mailing Address |
3333 N Mayfair Rd Suite 311 Wauwatosa WI 53222-3219 |
| Practice Telephone | 4147712345 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
26439 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
60332 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7165 | WI | Dental Providers |
| Street Address |
11711 W BURLEIGH ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586552 | Frederick Peter Ballerini | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-06-14 |
| 1801441852 | Charles K Ariza | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2019-08-06 |
| 1851953053 | Olivia Louise Pogodzinski | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2019-07-08 |
| 1639664527 | Mersedes S. Sweeney | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3196 | 2018-06-25 |
| 1932634425 | Mohammed A Mansour | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2017-04-22 |
| 1801240627 | Ekta Desai | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2016-04-18 |
| 1679616304 | Donald Richard Kratz | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2007-02-14 |
| 1659433928 | Dental Associates Ltd | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-12-14 |
| 1427116995 | Dental Associates Ltd | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-12-05 |
| 1396842712 | Jonathan George Frankmann | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| 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 |
|---|---|---|---|---|
| 1396204418 | Travis Lepera | Dentist | 8915 W Connell Ave, Wauwatosa, WI 53226-3067 | 2019-03-18 |
| 1932364114 | Nicole M Simonetti | Dentist | 9000 W Wisconsin Ave, M.s. 773, Wauwatosa, WI 53226-4874 | 2008-07-27 |
| 1124031323 | Dennis Moore Robbins | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-08-15 |
| 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.