WESLEY CHIASSON (NPI# 1558995902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558995902 |
| Entity Type | Individual |
| Full Name | WESLEY CHIASSON |
| Credential | DDS |
| Practice Address |
5433 W Fond Du Lac Ave Milwaukee WI 53216-1382 |
| Mailing Address |
2257 S Woodward St Milwaukee WI 53207-1315 |
| Practice Telephone | 4142778900 |
| Mailing Telephone | 6306778527 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
100224615 | WI | Dental Providers |
| Street Address |
5433 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780647263 | Melanie Ann Mailloux | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2006-04-07 |
| 1750994968 | Doua Yang | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-08-26 |
| 1013558642 | Judith L Bellamy | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2019-10-04 |
| 1932631876 | Abby Engen-schimek | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2017-03-30 |
| 1003364811 | Kaitlin Schaeren | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2016-09-21 |
| 1790172070 | Nadia Dhuey | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-04-24 |
| 1487049276 | Lauren Murray | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-30 |
| 1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
| 1518355858 | John Schimek | Pediatrics | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-01-08 |
| 1174927248 | Nora A Degroote | Nurse Practitioner | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1598307738 | Hamdi Cem Gungor | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2019-10-09 |
| 1407313521 | Jonathan Hanna | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2019-02-25 |
| 1588103097 | Jason Holt | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2017-02-16 |
| 1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
| 1245629518 | Colleen Greene | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2015-01-09 |
| 1538454400 | Carli Digioia | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2011-06-18 |
| 1700014354 | Jamie Lynn Bass | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2009-06-22 |
| 1952507188 | Dana L Radtke | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | 2007-06-25 |
| 1467582916 | Wisconsin Dental Group, S.c. | Dentist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2007-03-06 |
| Find all providers in MILWAUKEE | ||||
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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.