DR. NIKKI SMITH (NPI# 1316968027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316968027 |
| Entity Type | Individual |
| Full Name | DR. NIKKI SMITH |
| Credential | DDS MS |
| Practice Address |
4660 W College Ave Appleton WI 54913-8507 |
| Practice Telephone | 9207300345 |
| Mailing Telephone | 9207300345 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5550 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659808301 | Nikki Smith | Dental Assistant | 1050 Basalt Ct, Hemet, CA 92543-7884 | 2017-05-12 |
| 1780932376 | Nikki Monique Chapple Smith | Counselor | 1219 Idylwood Rd, Pikesville, MD 21208-3617 | 2012-08-29 |
| 1427231810 | Nikki Lynne Smith | Licensed Practical Nurse | 993 N Church St, Richland Center, WI 53581-1408 | 2007-12-10 |
| 1811937733 | Nikki Smith | Physician Assistant | 8793 Pasture Gate Ln, Baldwinsville, NY 13027 | 2006-06-08 |
| 1841478880 | Nikki C Smith | Dental Hygienist | 863 I St Ste B, Los Banos, CA 93635-4310 | 2008-02-01 |
| Street Address |
4660 W COLLEGE AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568400950 | Sangkyu - Han | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2006-06-04 |
| 1053801944 | Xiaoqi Chen | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2018-05-16 |
| 1912427642 | Nathan Phillip Krueger | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2017-06-23 |
| 1003261462 | Naa Norkor Hammond | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2016-05-04 |
| 1497069207 | Adrian Peter Gansen IIi | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2010-08-04 |
| 1780847624 | Yvonne Wen-yuan Yang | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2008-07-09 |
| 1700908100 | Thomas Francis Lange | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2007-04-04 |
| 1497768113 | Uday H. Mohite | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2006-08-14 |
| 1043220288 | William H Knapp | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2006-08-09 |
| 1649291402 | James Curran | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| 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 |
|---|---|---|---|---|
| 1447292537 | Gonzalo E Hernandez | Dentist | 2612 E Calumet St, Appleton, WI 54915-4104 | 2006-06-12 |
| 1710968086 | Children's Dental Health Center, S.c. | Dentist | W3132 Van Roy Rd, Appleton, WI 54915-3982 | 2005-11-14 |
| 1598105637 | Dental Haven for Children Sc | Dentist | 2612 E Calumet St, Appleton, WI 54915-4104 | 2013-07-03 |
| 1922215151 | Mark James Steinmetz | Dentist | W3132 Van Roy Rd, Appleton, WI 54915-3982 | 2007-05-17 |
| 1174730246 | James Arthur Steinmetz | Dentist | W3132 Van Roy Rd, Appleton, WI 54915-3982 | 2007-05-17 |
| 1689691560 | Gayatri Bhosale-mohite | Dentist | 4660 W College Ave, Appleton, WI 54913-8507 | 2006-07-16 |
| 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.