ROBIN D KNODEL (NPI# 1417070665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417070665 |
| Entity Type | Individual |
| Full Name | ROBIN D KNODEL |
| Credential | D.D.S. |
| Practice Address |
4060 N Main St Suite 102 Racine WI 53402-3121 |
| Practice Telephone | 2626397298 |
| Mailing Telephone | 2626397298 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4519 | WI | Dental Providers |
| Street Address |
4060 N MAIN ST SUITE 102 |
| City | RACINE |
| State | WI |
| Zip Code | 53402-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967470 | Ronald L Allen | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2005-07-21 |
| 1740443704 | Eye Care Surgical Consulting Sc | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2008-07-09 |
| 1114189750 | Warren Eye Care | Optometrist | 4060 N Main St, Racine, WI 53402-3121 | 2008-06-25 |
| 1023211026 | Leonardo Huck | Dentist | 4060 N Main St, Suite 102, Racine, WI 53402-3121 | 2007-06-07 |
| 1699984500 | Jill Jelinek | Acupuncturist | 4060 N Main St, Suite 106, Racine, WI 53402-3121 | 2007-05-21 |
| 1659580462 | Stephanie Lynn Smith-whybark | Acupuncturist | 4060 N Main St, Suite106, Racine, WI 53402-3121 | 2007-05-21 |
| 1821113697 | John Warren, Od Sc | Optometrist | 4060 N Main St, Racine, WI 53402-3121 | 2007-03-20 |
| 1578606810 | Eye Care Surgical Consulting, S.c. | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2007-02-15 |
| 1881752202 | K Thomas Keller Dc Sc | Chiropractor | 4060 N Main St, Racine, WI 53402-3121 | 2006-12-05 |
| 1962515999 | Karl Thomas Keller | Chiropractor | 4060 N Main St, Racine, WI 53402-3121 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| 1295148997 | Smita Kumar | Dentist | 4915 Washington Ave Ste B, Racine, WI 53406-4221 | 2014-06-10 |
| 1225282643 | James Allen Levandoski | Dentist | 239 Old Pine Cir, Racine, WI 53402-2305 | 2008-11-12 |
| 1003942319 | Southwest Dental Group, S.c. | Dentist | 2601 Taylor Ave, Racine, WI 53403-2865 | 2007-02-23 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1497805964 | Robert Arnold Bissegger | Dentist | 3801 Washington Ave, Racine, WI 53405-2853 | 2007-01-10 |
| 1275699738 | Lisa Gabrius Fortunato | Dentist | 6218 Washington Ave, Suite C, Racine, WI 53406-3916 | 2006-12-29 |
| 1477622975 | Ned J Murphy | Dentist | 5440 Spring St, Racine, WI 53406-2912 | 2006-11-07 |
| 1235217589 | John Fortune Winkler | Dentist | 3333 Douglas Ave, Racine, WI 53402-3749 | 2006-11-02 |
| 1821176108 | Joseph Paul Sanfelippo | Dentist | 5814 Washington Ave, Racine, WI 53406-4020 | 2006-11-02 |
| Find all providers in RACINE | ||||
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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.