DR. KRISTEN NICOLE BRUNNER


Address: 1717 S Calhoun St, Fort Wayne, IN 46802-5257
Phone: 2604582641

DR. KRISTEN NICOLE BRUNNER (NPI# 1801324470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801324470
Entity Type Individual
Full Name DR. KRISTEN NICOLE BRUNNER
Credential DDS
Practice Address 1717 S Calhoun St
Fort Wayne
IN 46802-5257
Mailing Address 1716 Madison St
Decatur
IN 46733-1438
Practice Telephone 2604582641
Mailing Telephone 2607018866
Enumeration Date 2017-05-26
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12012716A IN Dental Providers

Other Providers KRISTEN BRUNNER

NPI Name Taxonomy Address Enumeration
1811349053 Kristen M Brunner Occupational Therapy Assistant 339 E Maple St, North Canton, OH 44720-2593 2016-07-12

Office Location

Street Address 1717 S CALHOUN ST
City FORT WAYNE
State IN
Zip Code 46802-5257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003810656 Ronald R Hall Pediatrics 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2005-06-10
1558960179 Omolola Beaird Nurse Practitioner 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2020-10-24
1689287518 Brianna Rae Pool Nurse Practitioner 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2020-08-29
1851916274 Kelly Marie Vandemark Nurse Practitioner 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2020-06-11
1922631332 Neighborhood Health Clinics, Inc Community/Behavioral Health 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2020-02-14
1821646795 Marta E. Wrobleski Nurse Practitioner 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2019-09-03
1912462698 Lormekia Al'mata Warren Nurse Practitioner 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2019-02-06
1720599988 Neighborhood Health Clinics, Inc Optometrist 1717 S Calhoun St, Fort Wayne, IN 46802-5257 2017-10-16
1043766421 Allison Treleaven Optometrist 1717 S Calhoun St, Fort Wayne, IN 46802 2016-08-26
1104272145 Jonathan Hinz Dentist 1717 S Calhoun St, Fort Wayne, IN 46802 2016-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679186258 James Patrick Thompson Dentist 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 2020-08-25
1295357481 Sycamore Hills Dentistry Dentist 10082 Illinois Rd, Fort Wayne, IN 46804-5772 2020-05-11
1699324103 Phillip M. Mckean Professional Corporation Dentist 6605 E State Blvd Ste 7, Fort Wayne, IN 46815-7036 2019-09-06
1598322083 Charles Chase Ellinwood Dentist 5725 Maplecrest Rd Ste 1, Fort Wayne, IN 46835-4937 2019-05-21
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1821582172 Jacob Yager Dentist 9830 Auburn Rd Ste 101, Fort Wayne, IN 46825-2464 2018-06-20
1740772656 Colleen Rose Allen Dentist 10213 Dupont Circle Dr W, Fort Wayne, IN 46825-1656 2018-06-06
1407360910 Grace Xinxing Clark Dentist 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804-5123 2017-11-20
1578959375 Ronald L Rumbaugh Dds PC Dentist 10506 Coldwater Rd, Fort Wayne, IN 46845-1235 2015-04-09
1619388063 Familia Dental Spfw Pllc Dentist 100 E Pettit Ave, 1a, Fort Wayne, IN 46806-3003 2014-05-19
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Competitor

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City FORT WAYNE
Zip Code 46802

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Dataset Information

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.

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