CHILDREN'S DENTAL CARE OF KENOSHA (NPI# 1215948377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215948377 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL CARE OF KENOSHA |
| Practice Address |
2901 35th St Kenosha WI 53140-5119 |
| Practice Telephone | 2626583488 |
| Practice Fax Number | 2626583433 |
| Mailing Telephone | 2626583488 |
| Mailing Fax Number | 2626583433 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENNIS M CONNOLLY (PRESIDENT) |
| Authorized Official Telephone | 2626583488 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
2901 35TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629677 | Birute Balciunas Schlecht | Podiatrist | 2901 35th St, Lower Level, Kenosha, WI 53140-5119 | 2005-06-20 |
| 1336709468 | Dana Mehring | Family Medicine | 2901 35th St, Kenosha, WI 53140-5117 | 2019-06-20 |
| 1104279561 | Advanced Foot and Ankle Center of Kenosha S.c. | Podiatrist | 2901 35th St, Lower Level South, Kenosha, WI 53140-5117 | 2016-07-20 |
| 1083018089 | Binder Family Chiropractic LLC | Chiropractor | 2901 35th St, Kenosha, WI 53140-5119 | 2014-10-20 |
| 1043509789 | A Plus Podiatry & Sports Medicine LLC | Podiatrist | 2901 35th St, Lower Level, Kenosha, WI 53140-5119 | 2011-04-04 |
| 1013019355 | Nicholas Mark Cetta | Pediatrics | 2901 35th St, Lower Level, Kenosha, WI 53140 | 2006-09-05 |
| 1336124213 | Lori J Kerber | Dentist | 2901 35th St, Kenosha, WI 53140-5119 | 2005-12-13 |
| 1245215128 | Dennis M Connolly | Dentist | 2901 35th St, Kenosha, WI 53140-5119 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| 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 |
|---|---|---|---|---|
| 1124072392 | Joseph P Barta | Dentist | 5910 39th Ave, Kenosha, WI 53144-2738 | 2006-05-20 |
| 1144350703 | Wisconsin Dental Group, S.c. | Dentist | 3410 80th St, Kenosha, WI 53142-4975 | 2007-03-06 |
| 1770679276 | Purnima Swearingen | Dentist | 4707 Washington Rd, Kenosha, WI 53144-1597 | 2006-10-04 |
| 1003929266 | Jane Lynn Reyerson | Dentist | 7117 Green Bay Rd, Kenosha, WI 53142-1450 | 2006-08-15 |
| 1336124213 | Lori J Kerber | Dentist | 2901 35th St, Kenosha, WI 53140-5119 | 2005-12-13 |
| 1023005972 | Cesar D Gonzalez | Dentist | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2005-10-04 |
| 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.