JOHNSON CREEK DENTAL (NPI# 1225124571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225124571 |
| Entity Type | Organization |
| Organization Name | JOHNSON CREEK DENTAL |
| Practice Address |
540 Village Walk Lane Suite E Johnson Creek WI 53038 |
| Practice Telephone | 9206992554 |
| Practice Fax Number | 9206993059 |
| Mailing Telephone | 9206992554 |
| Mailing Fax Number | 9206993059 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHATHON J MELK (DENTIST) |
| Authorized Official Telephone | 9206902554 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JOHNSON CREEK DENTAL BUILDING, LLC | 4450 Se Johnson Creek Blvd, Milwaukie, OR 97222 |
| Oregon Corporations, Companies and Business Names | JOHNSON CREEK DENTAL CARE | 4450 Se Johnson Creek Blvd, Portland, OR 97222 |
| Street Address |
540 VILLAGE WALK LANE SUITE E |
| City | JOHNSON CREEK |
| State | WI |
| Zip Code | 53038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540863 | Spencer Agnew | Physical Therapist | 540 Village Walk Ln Ste E, Johnson Creek, WI 53038 | 2018-06-01 |
| 1326345166 | Crossroads Chiropractic Johnson Creek LLC | Chiropractor | 545 Village Walk Ln, Suite C, Johnson Creek, WI 53038 | 2011-02-14 |
| 1164727962 | Kimberly D Turner | Chiropractor | 545 Village Walk Lane, Suite C, Johnson Creek, WI 53038 | 2011-01-26 |
| 1164756110 | Dousman Chiropractic Clinic Sc | Chiropractor | W4489 Ambrose Rd, Johnson Creek, WI 53038 | 2009-09-23 |
| 1871653246 | Daniel A Harvey | Dentist | 113 Depot St, Johnson Creek, WI 53038 | 2006-12-08 |
| 1609933001 | Johnson Creek Fire Ems Dept. | Ambulance | 125 Depot St., Johnson Creek, WI 53038-0451 | 2007-01-03 |
| 1043757073 | Lyndsey Webster | Speech-Language Pathologist | 435 Hillary Cir Apt D, Johnson Creek, WI 53038-9308 | 2017-01-29 |
| 1932608643 | Johnson Creek Counseling & Wellness Center LLC | Clinic/Center | 520 Hartwig Blvd, Johnson Creek, WI 53038-9314 | 2018-02-08 |
| 1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
| 1861711822 | Jessica Moore Schuster | Radiology | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2010-05-28 |
| Find all providers in zip 53038 | ||||
| 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 |
|---|---|---|---|---|
| 1821232760 | Jonathon J Melk | Dentist | 540 Village Walk Ln, Suite E, Johnson Creek, WI 53038-9554 | 2009-04-22 |
| 1811179559 | Shonna Marie Jorgensen | Dentist | 540 Village Walk Ln, Suite E, Johnson Creek, WI 53038-9554 | 2007-12-05 |
| 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 | JOHNSON CREEK |
| Zip Code | 53038 |
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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.