MR. DENNIS J KING (NPI# 1255411302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255411302 |
| Entity Type | Individual |
| Full Name | MR. DENNIS J KING |
| Credential | DC, CCSP, FACO |
| Practice Address |
721 Cardinal Ln Suite 100 Green Bay WI 54313-3216 |
| Mailing Address |
Po Box 11067 Green Bay WI 54307-1067 |
| Practice Telephone | 9204342221 |
| Practice Fax Number | 9204342483 |
| Mailing Telephone | 9204342221 |
| Mailing Fax Number | 9204342483 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2312 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38840100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376750851 | Dennis Paul King Jr. | Dentist | 400a1 Prestige Park Dr, Hurricane, WV 25526-8420 | 2007-05-16 |
| 1013139906 | Dennis R. King | Family Medicine | 11416 Grigsby Chapel Rd Ste 102, Knoxville, TN 37934-1770 | 2007-05-02 |
| 1174555833 | Dennis Wayne King | Nurse Anesthetist, Certified Registered | 446 County Road 7592, Jonesboro, AR 72401-7767 | 2006-07-06 |
| 1033178173 | Dennis C King | Internal Medicine | 4165 9th St Sw, Suite 106, Vero Beach, FL 32968-4878 | 2006-03-18 |
| 1497735146 | Dennis Samuel King | Dentist | 6100 Village Dr, Suite 100, Lincoln, NE 68516-4735 | 2006-01-19 |
| 1407306228 | Dennis King | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2016-10-05 |
| 1710043054 | Dennis K King | Internal Medicine | 1401 S Apollo Blvd, Suite A, Melbourne, FL 32901-3179 | 2006-12-29 |
| 1710924576 | Dennis E King | Radiology | 3100 S Douglas Rd, Coral Gables, FL 33134-6914 | 2006-06-01 |
| Street Address |
721 CARDINAL LN SUITE 100 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164502241 | Jennifer L Vollrath-grosam | Chiropractor | 721 Cardinal Ln, Ste 100, Green Bay, WI 54313-3216 | 2006-10-16 |
| 1518396936 | Richard Wolcott Kingsbury | Chiropractor | 721 Cardinal Ln, Suite 100, Green Bay, WI 54313-3216 | 2013-11-06 |
| 1053665364 | Alaina Marie Sperber | Chiropractor | 721 Cardinal Ln, Suite 100, Green Bay, WI 54313-3216 | 2012-11-08 |
| 1033488788 | Grant Andrew Packard | Chiropractor | 721 Cardinal Ln, Green Bay, WI 54313-3216 | 2011-12-27 |
| 1831363431 | Howard Chiropractic Clinic, S.c. | Chiropractor | 721 Cardinal Ln, Ste 100, Green Bay, WI 54313-3216 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1376067413 | Tyler Allen Malueg | Chiropractor | 2069 Central Ct Ste 11, Green Bay, WI 54311-4281 | 2017-07-31 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1982082277 | Matthew Hallam | Chiropractor | 1541 Bellevue St Ste 5, Green Bay, WI 54311-6266 | 2015-05-07 |
| 1861893018 | Leah Hetebrueg | Chiropractor | 2066 Central Dr, Unit D, Green Bay, WI 54311-4244 | 2014-09-08 |
| 1518368836 | Jesse Anderson | Chiropractor | 982 N Taylor St, Green Bay, WI 54303-1202 | 2014-09-05 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1083980981 | Healthy Living Chiropractic Clinic Inc. | Chiropractor | 858 Hansen Rd, Green Bay, WI 54304-5324 | 2012-03-26 |
| 1730409111 | Cornerstone Chiropractic Sc | Chiropractor | 2763 S Oneida St, Green Bay, WI 54304-5750 | 2010-06-08 |
| 1689906240 | Hazuka Spinal Center Inc | Chiropractor | 1742 E Mason St, Green Bay, WI 54302-3259 | 2010-02-08 |
| Find all providers in GREEN BAY | ||||
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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.