KIM TRAN-WERTZ DDS MS LLC (NPI# 1801198858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801198858 |
| Entity Type | Organization |
| Organization Name | KIM TRAN-WERTZ DDS MS LLC |
| Practice Address |
12720 W North Ave Brookfield WI 53005-4637 |
| Practice Telephone | 2627822300 |
| Practice Fax Number | 2627822313 |
| Mailing Telephone | 2627822300 |
| Mailing Fax Number | 2627822313 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | KIM TRAN-WERTZ (DENTIST) |
| Authorized Official Telephone | 2627822300 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
4384-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33770200 | 05 |
| Street Address |
12720 W NORTH AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710094719 | Kim Tran Wertz | Dentist | 12720 W North Ave, Bldg B, Brookfield, WI 53005 | 2006-08-24 |
| 1760882138 | Amy Morgan-tautges | Social Worker | 12720 W North Ave, Building B - Suite 200, Brookfield, WI 53005 | 2014-09-03 |
| 1578989810 | Erin Rachwal | Social Worker | 12720 W North Ave, Suite B-200, Brookfield, WI 53005-4637 | 2014-03-11 |
| 1508287780 | Lisa Ann Johnson | Counselor | 12720 W North Ave, Brookfield, WI 53005-4637 | 2013-12-14 |
| 1053740506 | Erin Rinderle | Social Worker | 12720 W North Ave, Building B, Suite 200, Brookfield, WI 53005-4637 | 2013-11-05 |
| 1942508965 | Jessica Lange | Counselor | 12720 W North Ave, Building B Suite 200, Brookfield, WI 53005-4637 | 2011-03-01 |
| 1952569105 | Arger Chris Markakis | Dentist | 12720 W North Ave, Brookfield, WI 53005-4637 | 2008-05-23 |
| 1952599573 | Robert A. Wallock | Dentist | 12720 W North Ave, Brookfield, WI 53005-4637 | 2007-10-09 |
| 1326255597 | Edward W. Hoffmann | Dentist | 12720 W North Ave, Brookfield, WI 53005-4637 | 2007-05-17 |
| 1366586224 | Elmbrook Oral & Maxillofacial Surgery Assoc., S.c. | Dentist | 12720 W North Ave, Brookfield, WI 53005-4637 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| 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 |
| 1609913367 | Michael P Waliszewski | Dentist | 19990 W Greenfield Ave, Brookfield, WI 53045-3733 | 2007-01-31 |
| 1710094719 | Kim Tran Wertz | Dentist | 12720 W North Ave, Bldg B, Brookfield, WI 53005 | 2006-08-24 |
| 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 | 53005 |
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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.