MICHAEL ERNEST WAHL (NPI# 1770584716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770584716 |
| Entity Type | Individual |
| Full Name | MICHAEL ERNEST WAHL |
| Credential | DDS |
| Practice Address |
1104 W Colorado Ave Colorado Springs CO 80904 |
| Practice Telephone | 7196338766 |
| Practice Fax Number | 7196355259 |
| Mailing Telephone | 7196338766 |
| Mailing Fax Number | 7196355259 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105967 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02105963 | 05 | |
| CO | DEA | AW3291224 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932460581 | Michael Wahl | Dentist | 1130 Tournament Dr, Hillsborough, CA 94010-7432 | 2012-05-30 |
| 1265423404 | Michael J Wahl | Family Medicine | 109 Technology Drive, Suite A, Butler, PA 16001-1785 | 2005-11-04 |
| 1326513243 | Michael Brandon Wahl | Counselor | 344 E 100 S, Salt Lake City, UT 84111 | 2018-10-07 |
| 1710253893 | Michael Wahl | Radiology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2012-03-22 |
| 1568538080 | Michael S. Wahl | Emergency Medicine | 2650 Ridge Ave, Emergency Medicine, Evanston, IL 60201-1718 | 2006-11-27 |
| 1114017142 | Michael J Wahl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13910 Lakeshore Blvd, Suite 140, Hudson, FL 34667-1481 | 2006-10-13 |
| 1265535637 | Michael J Wahl | Dentist | 1601 Concord Pike, Su 99, Wilmington, DE 19803 | 2006-09-07 |
| 1346237807 | Michael R Wahl | Internal Medicine | 11700 W 2nd Pl, Suite 350, Lakewood, CO 80228-1710 | 2005-09-30 |
| Street Address |
1104 W COLORADO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104313576 | Christina M Laberteaux | Dental Hygienist | 1104 W Colorado Ave, Colorado Springs, CO 80904-4330 | 2018-04-20 |
| 1427400258 | Alexa Johnson | Dentist | 1104 W Colorado Ave, Colorado Springs, CO 80904-4330 | 2016-07-05 |
| 1205288198 | Cody Boals | Dentist | 1104 W Colorado Ave, Colorado Springs, CO 80904-4330 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| 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 |
|---|---|---|---|---|
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1063035863 | Elbert Dental Pllc | Dentist | 6240 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2020-05-27 |
| 1932735750 | Center Point Dental Pllc | Dentist | 5410 Powers Center Pt Ste 200, Colorado Springs, CO 80920-7148 | 2020-03-13 |
| 1881228245 | Powers Dental Specialists LLC | Dentist | 5740 N Carefree Cir Ste 150, Colorado Springs, CO 80917-2787 | 2020-02-25 |
| 1174167217 | Elbert Dental Pllc | Dentist | 6665 Delmonico Dr Ste C, Colorado Springs, CO 80919-1895 | 2019-11-01 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1750875019 | Steven George | Dentist | 5925 Lehman Dr Ste 2, Colorado Springs, CO 80918-3418 | 2018-06-20 |
| 1962995068 | Trenton Jeffery Platt | Dentist | 2465 Research Pkwy Ste 100, Colorado Springs, CO 80920-1089 | 2018-06-13 |
| 1710477732 | Dental Health Professionals of Colorado | Dentist | 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906-7372 | 2018-05-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
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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.