CHRIS PARK (NPI# 1750941472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750941472 |
Entity Type | Individual |
Full Name | CHRIS PARK |
Credential | DDS |
Practice Address |
205 E Wisconsin Ave Milwaukee WI 53202-4207 |
Mailing Address |
342 N Water St Apt 501 Milwaukee WI 53202-5933 |
Practice Telephone | 4147783600 |
Mailing Telephone | 6308028688 |
Enumeration Date | 2019-06-14 |
Last Update Date | 2019-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
1002124-15 | WI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508474925 | Chris Park | Respiratory Therapist, Registered | 12025 Copper Mine Ln, El Paso, TX 79934-3416 | 2020-07-22 |
1891870481 | Chris Park | Counselor | 777 N 1st St, #444, San Jose, CA 95112-6337 | 2006-10-25 |
1174992960 | Chris Kang-il Park | Pharmacist | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2015-09-22 |
1013343102 | Chris Junbum Park | Dentist | 1598 Washington Ave, San Leandro, CA 94577-4465 | 2013-09-19 |
1649348087 | Chris C Park | Internal Medicine | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2006-12-02 |
1144234519 | Chris J Park | Podiatrist | 18895 Colima Rd, Suite A, Rowland Heights, CA 91748-2978 | 2006-07-28 |
Street Address |
205 E WISCONSIN AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53202-4207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699704288 | Charles Girard Lenarduzzi | Dentist | 205 E Wisconsin Ave, Milwaukee, WI 53202-4207 | 2006-07-03 |
1679095061 | Sadaf Hussain | Dentist | 205 E Wisconsin Ave, Milwaukee, WI 53202 | 2017-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
Find all providers in zip 53202 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932752862 | Edp of Wisconsin, PC | Dentist | 1825 N Martin Luther King Dr, Milwaukee, WI 53212-3673 | 2019-07-19 |
1245742733 | D2 Dental of Wisconsin, S.c. | Dentist | 1838 S 15th St, Milwaukee, WI 53204-3225 | 2017-10-25 |
1003337494 | Anne Katherine Press | Dentist | 5000 National Dr, Milwaukee, WI 53295-0001 | 2017-07-06 |
1942739610 | Scott Thomas Boyer | Dentist | 1017 S 2nd St Unit 305, Milwaukee, WI 53204-1885 | 2017-06-07 |
1477908648 | Reem Mahjoub | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2016-04-25 |
1215381009 | Katherine Lynn Pauly | Dentist | 270 E Highland Ave Apt 236, Milwaukee, WI 53202-6638 | 2016-04-18 |
1154794584 | Familia Dental River Glen LLC | Dentist | 142 E Capitol Dr, Milwaukee, WI 53212-1206 | 2015-11-06 |
1609259266 | Familia Dental Mkemitchell LLC | Dentist | 821 S Layton Blvd, Milwaukee, WI 53215-1225 | 2015-07-01 |
1174811640 | Juhi Yadava | Dentist | 710 W Mitchell St, Milwaukee, WI 53204-3556 | 2011-07-18 |
1730474511 | Gloria Lee | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2011-06-09 |
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.