MR. JAN R KIESER (NPI# 1386774834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386774834 |
| Entity Type | Individual |
| Full Name | MR. JAN R KIESER |
| Credential | DDS |
| Practice Address |
7265 Beaumont Rd Prairie Du Chien WI 53821 |
| Practice Telephone | 6083268550 |
| Mailing Telephone | 6083268550 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4001493 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33596100 | 05 |
| Street Address |
7265 BEAUMONT RD |
| City | PRAIRIE DU CHIEN |
| State | WI |
| Zip Code | 53821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821539107 | Morgan Jewell Faulkner | Occupational Therapist | 700 S. Fremont St., Prairie Du Chien, WI 53821 | 2017-03-20 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1952551525 | Stacy L. Blackburn | Family Medicine | 800 Blackhawk Avenue, Prairie Du Chien, WI 53821 | 2008-09-19 |
| 1124276985 | Lori Knapp Crawford, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2008-09-05 |
| 1437239209 | Bruce Lee Pomerening | Dentist | 109 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2006-10-16 |
| 1386738078 | Edwin Herbert Neumann | Optometrist | 38020 Hwy 18, Prairie Du Chien, WI 53821 | 2006-10-03 |
| 1063515179 | Dental Associates of Prairie Du Chien PC | Dentist | 820 S Marquette Rd, Prairie Du Chien, WI 53821 | 2006-09-06 |
| 1811947492 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 800 East Blackhawk Avenue, Prairie Du Chien, WI 53821 | 2006-05-12 |
| 1497759070 | Sara J Rybarczyk | Internal Medicine | 610 East Taylor St, Prairie Du Chien, WI 53821 | 2005-06-10 |
| 1487656765 | Prairie Nursing Facility LLC | Skilled Nursing Facility | 700 S. Fremont Street, Prairie Du Chien, WI 53821 | 2005-06-01 |
| Find all providers in zip 53821 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457699613 | Thomas Edward Boston Jr. | Dentist | 500 E Parrish St, Prairie Du Chien, WI 53821-2729 | 2013-01-23 |
| 1437239209 | Bruce Lee Pomerening | Dentist | 109 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2006-10-16 |
| 1104934827 | Beth R Welter | Dentist | 114 E Blackhawk Ave, Prairie Du Chien, WI 53821-1529 | 2006-08-25 |
| 1750498481 | Welter Family Dentistry, Inc. | Dentist | 114 E Blackhawk Ave, Prairie Du Chien, WI 53821-1529 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE DU CHIEN |
| Zip Code | 53821 |
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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.