DR. MICHAEL P WALISZEWSKI (NPI# 1609913367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609913367 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL P WALISZEWSKI |
| Credential | DDS, MSD |
| Practice Address |
19990 W Greenfield Ave Brookfield WI 53045-3733 |
| Practice Telephone | 2627870677 |
| Mailing Telephone | 2627870677 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5475 | WI | Dental Providers |
| Street Address |
19990 W GREENFIELD AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306232376 | Prosthodontic Solutions LLC | Clinic/Center | 19990 W Greenfield Ave, Brookfield, WI 53045-3733 | 2015-04-07 |
| 1366589012 | Kenneth J Waliszewski | Dentist | 19990 W Greenfield Ave, Brookfield, WI 53045-3733 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1710094719 | Kim Tran Wertz | Dentist | 12720 W North Ave, Bldg B, Brookfield, WI 53005 | 2006-08-24 |
| 1801198858 | Kim Tran-wertz Dds Ms LLC | Dentist | 12720 W North Ave, Brookfield, WI 53005-4637 | 2010-11-24 |
| 1043357775 | Michael B Karczewski | Dentist | 13780 W Greenfield Ave, Suite 780, Brookfield, WI 53005-7192 | 2007-01-31 |
| 1366589012 | Kenneth J Waliszewski | Dentist | 19990 W Greenfield Ave, Brookfield, WI 53045-3733 | 2007-01-31 |
| 1679656979 | Charles A. Kass Dds,ms,sc | Dentist | 12720 W North Ave, Brookfield, WI 53005-4637 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679132815 | Wisconsin Oral Surgery LLC | Dentist | 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255 | 2019-06-11 |
| 1871949107 | Alicia Estrella | Dentist | 406 Science Dr Ste 402, Madison, WI 53711-1068 | 2016-05-05 |
| 1194066167 | Christman Dental, Ltd | Dentist | 425 W Prairie View Road, Chippewa Falls, WI 54729-3389 | 2013-03-15 |
| 1033482500 | Rupal Suresh Vasani | Dentist | 2501 County Highway I, Chippewa Falls, WI 54729-1422 | 2012-02-14 |
| 1659654127 | Eon Clinics | Dentist | 20700 Swenson Dr, Waukesha, WI 53186-0900 | 2011-09-21 |
| 1053641126 | Jerry W Walker | Dentist | 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 | 2010-01-12 |
| 1972742039 | Dean W Crow | Dentist | 2314 N. Grandview Blvd, Suite 206, Waukesha, WI 53188-1675 | 2009-02-13 |
| 1912143439 | David Joseph Kachelmeyer | Dentist | 1331 W Birch Ct, Milwaukee, WI 53209-5118 | 2009-01-06 |
| 1457531675 | Todd Russell Krueger | Dentist | 8531 W Lincoln Ave, West Allis, WI 53227-2542 | 2007-11-05 |
| 1518089523 | Charles Edward Pechous IIi | Dentist | 6124 Sheridan Rd, Kenosha, WI 53143-4527 | 2007-04-03 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.