DR. JAMES KEVIN BAHCALL (NPI# 1386807055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386807055 |
| Entity Type | Individual |
| Full Name | DR. JAMES KEVIN BAHCALL |
| Credential | DMD |
| Practice Address |
1801 West Wisconsin Ave Milwaukee WI 53233 |
| Mailing Address |
1801 W Wisconsin Ave Milwaukee WI 53233-2186 |
| Practice Telephone | 4142886517 |
| Mailing Telephone | 4142886517 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4205-015 | WI | Dental Providers |
| Street Address |
1801 WEST WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104924307 | Robert H Cassidy | Dentist | 1801 West Wisconsin Ave, Marquette University School of Dentistry, Milwaukee, WI 53223 | 2006-09-20 |
| 1124654264 | Geoffrey Ganzman | Dentist | 1801 West Wisconsin Ave, Periodontics, Milwaukee, WI 53233 | 2020-03-20 |
| 1548356702 | Gay M Derderian | Dentist | 1801 West Wisconsin Ave, Milwaukee, WI 53233 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1659745529 | Mohamed Ibrahim | Dentist | 1250 W Wisconsin Ave, Milwaukee, WI 53233-2225 | 2015-11-16 |
| 1770899486 | Richard Francis Urbanczyk | Dentist | 10401 W Lincoln Ave, Milwaukee, WI 53227-1255 | 2010-08-19 |
| 1184879108 | David W Belardi | Dentist | 10401 W Lincoln Ave, Ste. 104, Milwaukee, WI 53227-1255 | 2008-11-18 |
| 1972773588 | Advanced Dental Specialists, LLC | Dentist | 9052 N Deerbrook Trl, Milwaukee, WI 53223-2474 | 2008-03-11 |
| 1013937499 | Marquette University | Dentist | 1801 W Wisconsin Ave, Suite 145 B, Milwaukee, WI 53233-2186 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1891319273 | Janesville Endodontics | Dentist | 1616 N Randall Ave Ste 180, Janesville, WI 53545-1155 | 2020-06-02 |
| 1215344478 | Helen Tsao | Dentist | 2606 Stewart Ave, Ste 102, Wausau, WI 54401-5502 | 2014-07-18 |
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1447698451 | Eva C Dahl | Dentist | 2700 National Dr Ste 1, Onalaska, WI 54650-6708 | 2013-06-12 |
| 1275873374 | F Kris Olsen | Dentist | 1320 S Green Bay Road, Racine Dental Group, Racine, WI 53406 | 2013-02-26 |
| 1063710655 | Erik Daniel Deyoung | Dentist | 6100 W State St, Apt. 636, Wauwatosa, WI 53213-2983 | 2011-03-05 |
| 1376786285 | Ronald David Meyers | Dentist | 2600 N Mayfair Rd Ste 240, Wauwatosa, WI 53226-1309 | 2009-04-08 |
| 1942450457 | Wisconsin Endodontic Group, S.c. | Dentist | 2600 N. Mayfair Rd., Ste 240, Wauwatosa, WI 53226 | 2008-09-22 |
| 1558519058 | Kendra Kay Boda | Dentist | 3004 Golf Rd Ste 102, Eau Claire, WI 54701-8794 | 2008-09-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JAMES KEVIN BAHCALL.
| 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.