KEVIN JAMES CONNOR


Address: 1111 Delafield Street, Suite 222, Waukesha, WI 53188-3403
Phone: 2625478665

KEVIN JAMES CONNOR (NPI# 1174733588) 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) 1174733588
Entity Type Individual
Full Name KEVIN JAMES CONNOR
Credential D.D.S., M.D.
Practice Address 1111 Delafield Street
Suite 222
Waukesha
WI 53188-3403
Practice Telephone 2625478665
Practice Fax Number 2625478685
Mailing Telephone 2625478665
Mailing Fax Number 2625478685
Enumeration Date 2007-05-23
Last Update Date 2010-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
6201 54630 WI Dental Providers
N 204E00000X Oral & Maxillofacial Surgery S-406 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 07054 05

Other Providers KEVIN CONNOR

NPI Name Taxonomy Address Enumeration
1073058889 Kevin Connor Counselor 2167 Bitterroot Dr, Twin Falls, ID 83301-3581 2017-01-03
1770727877 Kevin A Connor Dentist 515 Delaware St Se, Room 9-436 Moos Tower, Minneapolis, MN 55455-0357 2009-04-21
1790804391 Kevin P Connor Physical Therapist 1310 24th Ave S, Nashville, TN 37212-2637 2007-03-28
1003948373 Kevin D Connor Acupuncturist 3670 Stone Way N Ste N271, Seattle, WA 98103-8004 2007-03-12
1821018953 Kevin John Connor Internal Medicine 100 E Chester Pike, Ridley Park, PA 19078-1703 2006-07-20

Office Location

Street Address 1111 DELAFIELD STREET
SUITE 222
City WAUKESHA
State WI
Zip Code 53188-3403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437123049 Harinder Singh Gill Internal Medicine 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 2006-02-13
1053766972 Geneva M Wahl Student in an Organized Health Care Education/Training Program 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 2016-04-28
1245609742 Rebecca A. La Rock Physician Assistant 1111 Delafield Street, Suite 311, Waukesha, WI 53188 2015-09-15
1992107031 Claire E Bauml Nurse Practitioner 1111 Delafield Street, Suite 311, Waukesha, WI 53188 2014-09-19
1487068243 Stephanie M. Voice Obstetrics & Gynecology 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 2014-06-19
1992124895 Courtney Ann Lemieux Obstetrics & Gynecology 1111 Delafield Street, Suite 311, Waukesha, WI 53188 2014-04-08
1629332101 Claire M Benishek Physician Assistant 1111 Delafield Street, Suite 311, Waukesha, WI 53188 2012-06-28
1881836484 Allison Marie Nelson Obstetrics & Gynecology 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 2009-03-27
1912167404 Megan M Trester Obstetrics & Gynecology 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 2008-06-10
1336367168 Sarah A Janz Obstetrics & Gynecology 1111 Delafield Street, Suite 311, Waukesha, WI 53188 2007-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
Find all providers in zip 53188

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285877654 Shane Connor Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2009-04-14
1407935794 Michael Blair Melugin Dentist 20855 Watertown Rd, Suite 240, Waukesha, WI 53186 2006-11-06
1720172992 Oral Surgery Associates of Milwaukee Sc Dentist 20611 Watertown Rd, Waukesha, WI 53186-1871 2006-10-03
1225145998 Thomas James Raspanti Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2006-08-25
1912014697 Joseph Mark Schmidt Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2006-08-25
1881702439 Joseph Adam Best Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2006-08-25
1841307584 Daniel Joseph D'angelo Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2006-08-25
1235247834 Oral and Maxillofacial Surgery Associates of Waukesha, Ltd. Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3403 2006-08-25
1194832824 Timothy Stephen Novak Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2006-08-25
1184732869 Donald Paul Holzhauer Dentist 1111 Delafield St, Suite 222, Waukesha, WI 53188-3417 2006-08-25
Find all providers in WAUKESHA

Competitor

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City WAUKESHA
Zip Code 53188

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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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