DR. ANJALI SUDERSHAN KRISHAN MEHTA (NPI# 1750893236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750893236 |
| Entity Type | Individual |
| Full Name | DR. ANJALI SUDERSHAN KRISHAN MEHTA |
| Credential | DMD |
| Practice Address |
S76w18035 Janesville Rd Muskego WI 53150-9379 |
| Mailing Address |
6961 W Pineberry Rdg Franklin WI 53132-8564 |
| Practice Telephone | 2624654232 |
| Mailing Telephone | 4147317848 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1001708-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366624819 | Anjali Hemu Mehta | Internal Medicine | 1819 W Polk St Ste A312, Division of Rheumatology, Mc 733, Chicago, IL 60612-4356 | 2007-11-27 |
| 1760603443 | Anjali Mehta | Obstetrics & Gynecology | 676 N Saint Clair St, Suite 1880, Chicago, IL 60611-2927 | 2007-05-01 |
| 1043343429 | Anjali R. Mehta | Otolaryngology | 123 Summer St, Suite 300, Worcester, MA 01608-1216 | 2007-03-14 |
| 1144329939 | Anjali Mehta | Obstetrics & Gynecology | 4749 Main St, Bridgeport, CT 06606 | 2006-09-21 |
| 1053425801 | Anjali J Mehta | Psychiatry & Neurology | 1200 N West Ave, Jackson, MI 49202-2179 | 2006-08-18 |
| Street Address |
S76W18035 JANESVILLE RD |
| City | MUSKEGO |
| State | WI |
| Zip Code | 53150-9379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238213 | Forefront Dermatology, S.c. | Dermatology | S.69 W.15472 Janesville Road, Muskego, WI 53150 | 2014-01-08 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1093015273 | Angela Margaret Havaich | Registered Nurse | W189 S6940 Lembezeder Ct., Muskego, WI 53150 | 2010-10-22 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1477741585 | Lisa Jean Schneider | Audiologist | S64w13838 Jamesville Road, Muskego, WI 53150 | 2007-10-15 |
| 1134349210 | Quality Home Health Care Inc | Home Health | W125 S7554 Coventry Ln, Muskego, WI 53150 | 2007-04-30 |
| 1073631016 | Christine Joanne Schaefer | Physical Therapist | W12929 Mcshane Dr, Muskego, WI 53150 | 2007-03-27 |
| 1508922196 | Joan Marie Rasque | Licensed Practical Nurse | S70w17495 Forest Dr, Muskego, WI 53150 | 2006-12-28 |
| 1821153131 | Christopher Daniel Culligan | Chiropractor | S74 W16845 Janesville Rd., Muskego, WI 53150 | 2006-12-27 |
| 1306881594 | Muskego Nursing Home Inc. | Nursing Facility/Intermediate Care Facility | S. 77-w. 18690 Janesville Rd, Muskego, WI 53150 | 2006-06-19 |
| Find all providers in zip 53150 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750738399 | Joshua Hamilton Masters | Dentist | S69w15466 Janesville Rd, Muskego, WI 53150-9330 | 2016-05-23 |
| 1700052636 | Michael A. Sandoval | Dentist | S63w13660 Janesville Rd, Muskego, WI 53150-2713 | 2008-04-30 |
| 1215596051 | Jonathon Traska | Dentist | S63w13660 Janesville Rd, Muskego, WI 53150-2713 | 2019-06-06 |
| 1275977159 | Marcelo Andres Romero-shu | Dentist | S63w13660 Janesville Rd, Muskego, WI 53150-2713 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.