JOHN W DYKSTRA (NPI# 1417329772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417329772 |
| Entity Type | Individual |
| Full Name | JOHN W DYKSTRA |
| Credential | H.I.S. |
| Practice Address |
3333 S Sunnyslope Rd Suite 102 New Berlin WI 53151-4502 |
| Mailing Address |
5200 Washington Ave Suite 102 Racine WI 53406-4238 |
| Practice Telephone | 2627840236 |
| Practice Fax Number | 2627840237 |
| Mailing Telephone | 2626375668 |
| Mailing Fax Number | 2626375009 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 1287 | WI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477661999 | John T. Dykstra | Dentist | 520 N Olympic Ave, Arlington, WA 98223-1247 | 2006-08-25 |
| 1730177379 | John Dykstra | Family Medicine | 3912 32nd Ave, Hudsonville, MI 49426-8460 | 2005-10-07 |
| 1952325110 | John A Dykstra | Physician Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2006-07-27 |
| 1720061690 | John S. Dykstra X | Radiology | 9501 N Oak Trfy, Suite 100, Kansas City, MO 64155-2256 | 2005-11-23 |
| Street Address |
3333 S SUNNYSLOPE RD SUITE 102 |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477510949 | Michelle S Stafford | Chiropractor | 3333 S Sunnyslope Rd, 108, New Berlin, WI 53151-4502 | 2006-04-28 |
| 1871620310 | Stafford Chiropractic | Chiropractor | 3333 S Sunnyslope Rd, 108, New Berlin, WI 53151-4502 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243493 | Chelsea Lallemont | Hearing Instrument Specialist | 15425 W National Ave, New Berlin, WI 53151-5156 | 2018-11-09 |
| 1821566605 | Kelsey Oppor | Hearing Instrument Specialist | 15425 W National Ave, New Berlin, WI 53151-5156 | 2018-11-09 |
| 1407369861 | Melissa Marie Makovec | Hearing Instrument Specialist | 15425 W National Ave, New Berlin, WI 53151-5156 | 2017-11-08 |
| 1275912479 | Hart Hearing Care Centers, Inc | Hearing Instrument Specialist | 15425 W National Ave, New Berlin, WI 53151-5156 | 2015-05-21 |
| 1982987855 | Lisa Hart | Hearing Instrument Specialist | 15425 W National Ave, New Berlin, WI 53151-5156 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174965 | Kayla Hensley | Hearing Instrument Specialist | 169 E Wisconsin Ave Unit H, Oconomowoc, WI 53066-3062 | 2020-11-04 |
| 1831797687 | Brian Gordon Wisniewski | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1437778438 | Nicole M Halverson | Hearing Instrument Specialist | 550 N Military Ave Ste 4a, Green Bay, WI 54303-4569 | 2020-04-10 |
| 1467089672 | John Paul Santucci | Hearing Instrument Specialist | 7945 W Layton Ave, Greenfield, WI 53220-3710 | 2020-03-26 |
| 1467088559 | Reed Harris | Hearing Instrument Specialist | 131 Carmichael Rd Ste 204, Hudson, WI 54016-8271 | 2020-03-20 |
| 1831732320 | Amy Meyer | Hearing Instrument Specialist | 4535 Mormon Coulee Rd Ste 2, La Crosse, WI 54601-8289 | 2019-10-28 |
| 1659914505 | Maria E Seefeld | Hearing Instrument Specialist | 302 N Saint Joseph Ave, Marshfield, WI 54449-1800 | 2019-10-23 |
| 1922640986 | Mitchell J Zdroik | Hearing Instrument Specialist | 7475 Mineral Point Rd Ste 15, Madison, WI 53717-1712 | 2019-10-11 |
| 1700436995 | Scott V Rantanen | Hearing Instrument Specialist | 7214 Green Bay Rd Ste 106, Kenosha, WI 53142-3516 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
Please comment or provide details below to improve the information on JOHN W DYKSTRA.
| 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.