KEVIN CHRISTOPHER WISEMAN (NPI# 1578861563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578861563 |
| Entity Type | Individual |
| Full Name | KEVIN CHRISTOPHER WISEMAN |
| Credential | DDS |
| Practice Address |
2507 W Cermak Rd Suite 290 Chicago IL 60608-3719 |
| Practice Telephone | 7736505100 |
| Mailing Telephone | 7736505100 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021002575 | IL | Dental Providers |
| Street Address |
2507 W CERMAK RD SUITE 290 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093887416 | Access Community Health Network | Clinic/Center | 2507 W Cermak Rd, Chicago, IL 60608-3719 | 2006-11-14 |
| 1801219308 | Metro Kidz Dental, PC | Dentist | 2507 W Cermak Rd, Chicago, IL 60608-3719 | 2014-02-04 |
| 1720304876 | Robert T Bernat | Ophthalmology | 2507 W Cermak Rd, Chicago, IL 60608-3719 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| 1407314610 | Orthodontic Experts Ltd | Dentist | 3339 W Belmont Ave, Chicago, IL 60618-5518 | 2019-03-06 |
| 1669938387 | Theresa Karras | Dentist | 11 E Cedar St, Floor 2, Chicago, IL 60611-6066 | 2019-02-19 |
| 1396235651 | Love My Smile Chicago, LLC | Dentist | 2112 N Clybourn Ave Unit B, Chicago, IL 60614-0800 | 2018-05-12 |
| 1013414655 | Flavio Jose Castelli Sanchez | Dentist | 801 S Paulina St Rm 131, Chicago, IL 60612-7210 | 2018-04-10 |
| 1437659570 | John C Ford | Dentist | 225 E Chicago Ave # 75, Chicago, IL 60611-2991 | 2018-02-15 |
| 1437657582 | Orthodontic Experts | Dentist | 1654 W North Ave, Chicago, IL 60622-2255 | 2018-01-24 |
| Find all providers in CHICAGO | ||||
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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.