DR. ROBERT EVAN DAVIES (NPI# 1285713461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285713461 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EVAN DAVIES |
| Credential | D.D.S. |
| Practice Address |
2117 Corporate Dr. Suite 100 Waukesha WI 53189 |
| Practice Telephone | 2625475813 |
| Practice Fax Number | 2625475835 |
| Mailing Telephone | 2625475813 |
| Mailing Fax Number | 2625475835 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5000400-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33662900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598897704 | Robert J Davies | Chiropractor | 757 Fay Road, Syracuse, NY 13219 | 2007-03-12 |
| 1932621489 | Robert Emmett Davies IIi | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2017-07-15 |
| 1285026237 | Robert Thomas Davies | Pharmacist | 1550 S Highway 29, Cantonment, FL 32533-6424 | 2015-02-27 |
| 1992839138 | Robert E. Davies | Pharmacist | 2208 Lincoln Way Nw, Massillon, OH 44647-6144 | 2007-03-16 |
| 1861528101 | Robert Davies | Urology | 1370 13th Ave S, Ste 121, Jacksonville Beach, FL 32250-3230 | 2007-02-23 |
| 1962562363 | Robert Owen Davies | Psychiatry & Neurology | 471 W 7th St, San Pedro, CA 90731-3207 | 2006-12-08 |
| 1922195064 | Robert Davies | Psychiatry & Neurology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-09 |
| 1285725671 | Robert Joseph Davies | Emergency Medicine | 2301 E Allegheny Ave, Northeastern Hospital, Philadelphia, PA 19134-4427 | 2006-09-28 |
| 1558384180 | Robert C Davies | Surgery | 1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012-3812 | 2006-07-25 |
| 1588647317 | Robert R Davies | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2005-11-25 |
| Street Address |
2117 CORPORATE DR. SUITE 100 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1427139542 | Wal-mart Stores East Lp | Technician/Technologist | 2000 Sw Avenue, Waukesha, WI 53189 | 2006-10-17 |
| Find all providers in zip 53189 | ||||
| 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 |
|---|---|---|---|---|
| 1003908856 | Davies Pediatric Dentistry | Dentist | 2117 Corporate Drive, Suite 100, Waukesha, WI 53189 | 2006-09-29 |
| 1609973668 | William Robert Renner | Dentist | 1111 Delafield St Ste 319, Waukesha, WI 53188-3407 | 2006-09-20 |
| 1124168638 | Waukesha Pediatric Dental Care Sc | Dentist | 2727 N Grandview Blvd, Suite 206, Waukesha, WI 53188-1671 | 2007-02-07 |
| 1427137611 | Kirsten Margaret Davies | Dentist | 2117 Corporate Drive, Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| 1487745394 | Susann Bordini Norwick | Dentist | 2727 N Grandview Blvd, Suite 206, Waukesha, WI 53188-6100 | 2006-09-27 |
| 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.