KARLY KILGAS (NPI# 1346623212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346623212 |
| Entity Type | Individual |
| Full Name | KARLY KILGAS |
| Practice Address |
5337 W Grande Market Dr Appleton WI 54913-8442 |
| Practice Telephone | 9207317445 |
| Practice Fax Number | 9208822946 |
| Mailing Telephone | 9207317445 |
| Mailing Fax Number | 9208822946 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1002727-16 | WI | Dental Providers |
| Street Address |
5337 W GRANDE MARKET DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225074008 | Partnership Community Health Center, Inc | Clinic/Center | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2006-06-21 |
| 1801400379 | Danielle L Shannon | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-09-02 |
| 1568080331 | Victoria Nicholson | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-07-08 |
| 1962034785 | Magdalena Skorupa | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-02-10 |
| 1720645708 | Angela M Pelehac | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2019-05-24 |
| 1407348485 | Logan Breann Schuiteman | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913 | 2018-06-05 |
| 1215432687 | Cynthia A Groboski | Counselor | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2018-03-28 |
| 1710490339 | Olivia Jacobs | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-11-06 |
| 1669997318 | Wendy Bekx | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-08-03 |
| 1356870307 | Joshua Vanden Heuvel | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-06-05 |
| 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 | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134401490 | Mary Rachelle Broderick | Dental Hygienist | 6419 Lake Rd, Appleton, NY 14008-9606 | 2011-09-13 |
| 1801400379 | Danielle L Shannon | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-09-02 |
| 1962034785 | Magdalena Skorupa | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-02-10 |
| 1710490339 | Olivia Jacobs | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-11-06 |
| 1508384033 | Macall Schmelzer | Dental Hygienist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2017-09-05 |
| 1669997318 | Wendy Bekx | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-08-03 |
| 1992237838 | Tracey Losse | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-03-30 |
| 1720535289 | Jamie Baxter | Dental Hygienist | 4182 W Wisconsin Ave, Appleton, WI 54913-8652 | 2016-09-01 |
| 1033566518 | Ashley Schider | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2016-05-16 |
| 1922472950 | Michele Evers | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2015-11-13 |
| Find all providers in APPLETON | ||||
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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.