DR. JONATHAN MICHAEL HANKS (NPI# 1316268915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316268915 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MICHAEL HANKS |
| Credential | D.D.S. |
| Practice Address |
2 Copeland Ave Suite 203 La Crosse WI 54603-3400 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6087824054 |
| Practice Fax Number | 6087822198 |
| Mailing Telephone | 6087850940 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DEN-10197 | CO | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
S108 | MN | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1001174 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730537275 | Jonathan Vernon Hanks | Counselor | 610 Yakima Ave, Tacoma, WA 98405-4851 | 2016-05-25 |
| Street Address |
2 COPELAND AVE SUITE 203 |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073975306 | Scenic Bluffs Health Cetner, Inc. | Clinic/Center | 2 Copeland Ave, Suite 203, La Crosse, WI 54603-3400 | 2016-03-25 |
| 1356749568 | Sandra Hauge | Dental Hygienist | 2 Copeland Ave, Suite 203, La Crosse, WI 54603-3400 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| Find all providers in zip 54603 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254305 | Timothy Brekke Durtsche | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2005-06-09 |
| 1699035576 | Lauren Marie Castro | Dentist | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-05-24 |
| 1144587551 | Mark James Erickson | Dentist | 1836 South Ave, La Crosse, WI 54601 | 2012-04-23 |
| 1932362092 | Andy Kabele | Dentist | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-07-08 |
| 1053582916 | Deepa T. Sathiah | Dentist | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-03-19 |
| 1932151685 | Drs. Anderson & Durtsche, Ltd. | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-17 |
| 1639158660 | Martin John Koop | Dentist | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-01-10 |
| 1205814407 | Thomas Stuart Mackenzie | Dentist | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-01-06 |
| 1932103900 | P Michael Banasik | Dentist | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
| 1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
| 1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
| 1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
| 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.