BUBON & ASSOCIATES, ORTHODONTICS, SC (NPI# 1861870420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861870420 |
| Entity Type | Organization |
| Organization Name | BUBON & ASSOCIATES, ORTHODONTICS, SC |
| Practice Address |
1201 Oak St Suite G West Bend WI 53095-3800 |
| Mailing Address |
N4w21680 Bluemound Rd Waukesha WI 53186-2943 |
| Practice Telephone | 2625227447 |
| Practice Fax Number | 2625227448 |
| Mailing Telephone | 2625227447 |
| Mailing Fax Number | 2625227448 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | DR. MICHAEL S BUBON (OWNER) |
| Authorized Official Telephone | 2625227447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4015-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042154 | Bubon & Associates, Orthodontics, Sc | Dentist | 4950 S 27th St, Milwaukee, WI 53221-2606 | 2015-05-14 |
| 1851779417 | Bubon & Associates, Orthodontics, Sc | Dentist | W188s7830 Racine Ave, Suite 300, Muskego, WI 53150-8290 | 2015-05-14 |
| 1578941548 | Bubon & Associates, Orthodontics, Sc | Dentist | N4w21680 Bluemound Rd, Waukesha, WI 53186-2943 | 2015-05-11 |
| 1336527993 | Bubon & Associates, Orthodontics, Sc | Dentist | 1253 Corporate Center Dr, Oconomowoc, WI 53066-4891 | 2015-05-14 |
| 1780062349 | Bubon & Associates, Orthodontics, Sc | Dentist | 3814 S Howell Ave, Milwaukee, WI 53207-3841 | 2015-05-14 |
| 1124406780 | Bubon & Associates, Orthodontics, Sc | Dentist | 9130 W Loomis Rd, Suite 600, Franklin, WI 53132-8888 | 2015-05-14 |
| 1053799619 | Bubon & Associates, Orthodontics, Sc | Dentist | 545 Village Walk Ln, Johnson Creek, WI 53038-9553 | 2015-05-14 |
| 1497133060 | Bubon & Associates, Orthodontics, Sc | Dentist | 17185 W North Ave, Brookfield, WI 53005-4428 | 2015-05-14 |
| 1316325970 | Bubon & Associates, Orthodontics, Sc | Dentist | 11 Crossroads Ct, Delafield, WI 53018-2035 | 2015-05-14 |
| Street Address |
1201 OAK ST SUITE G |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033515986 | Scott Bartell | Acupuncturist | 1201 Oak St, Suite H, West Bend, WI 53095-3800 | 2014-11-04 |
| 1710289608 | Earl W Nepple M.d. | Eyewear Supplier (Equipment, not the service) | 1201 Oak St, West Bend, WI 53095-3800 | 2010-11-26 |
| 1215163746 | Hazel M Hanson | Nurse Practitioner | 1201 Oak St, West Bend, WI 53095-3800 | 2009-06-10 |
| 1982850343 | Pamela Anne Schall | Contractor | 1201 Oak St, Suite Q, West Bend, WI 53095-3800 | 2008-08-16 |
| 1356511679 | Michael C. Reineck, Md | Durable Medical Equipment & Medical Supplies | 1201 Oak St, West Bend, WI 53095-3800 | 2008-03-03 |
| 1295841203 | Henry Nishan Ambrookian Jr. | Dentist | 1201 Oak St, West Bend, WI 53095-3800 | 2006-08-22 |
| 1942238274 | Stephen Robert Schacht | Dentist | 1201 Oak St, West Bend, WI 53095-3800 | 2006-06-28 |
| 1386621878 | Michael Charles Reineck | Orthopaedic Surgery | 1201 Oak St, West Bend, WI 53095-3800 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| 1841295599 | George G Hartl | Dentist | 1305 Chestnut St, West Bend, WI 53095-3007 | 2005-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488075 | Kristo Ltd | Dentist | 440 Chestnut St # 100, Wisconsin Rapids, WI 54494-4807 | 2020-02-11 |
| 1578104006 | Daniela Amaya Fuenmayor | Dentist | 11011 W North Ave Apt 367, Wauwatosa, WI 53226-2271 | 2019-10-07 |
| 1295382992 | Noble Orthodontics, LLC | Dentist | 109 N Dodge St, Burlington, WI 53105-1918 | 2019-08-19 |
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1811498561 | Orthodontic Specialists of Onalaska and The Coulee Region | Dentist | 2747 National Dr, Onalaska, WI 54650-8784 | 2018-02-27 |
| 1508247198 | Lauren Evan Montoure Teske | Dentist | 2000 Shady Ln, Green Bay, WI 54313-9311 | 2015-06-09 |
| 1588042154 | Bubon & Associates, Orthodontics, Sc | Dentist | 4950 S 27th St, Milwaukee, WI 53221-2606 | 2015-05-14 |
| 1235517897 | 1bubon & Associates, Orthodontics, Sc | Dentist | 1701 N Mayfair Rd, Suite C, Wauwatosa, WI 53226-3046 | 2015-05-14 |
| 1851779417 | Bubon & Associates, Orthodontics, Sc | Dentist | W188s7830 Racine Ave, Suite 300, Muskego, WI 53150-8290 | 2015-05-14 |
| 1578941548 | Bubon & Associates, Orthodontics, Sc | Dentist | N4w21680 Bluemound Rd, Waukesha, WI 53186-2943 | 2015-05-11 |
| 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.