CHARISSA KATZAN MCCUNE (NPI# 1912184268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912184268 |
| Entity Type | Individual |
| Full Name | CHARISSA KATZAN MCCUNE |
| Practice Address |
36855 American Way Ste C Avon OH 44011-4059 |
| Practice Telephone | 4409340149 |
| Practice Fax Number | 4409343990 |
| Mailing Telephone | 4409340149 |
| Mailing Fax Number | 4409343990 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30-020521 | OH | Dental Providers |
| Street Address |
36855 AMERICAN WAY STE C |
| City | AVON |
| State | OH |
| Zip Code | 44011-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558379214 | Maria Elena Ramirez | Dentist | 36855 American Way Ste C, Avon, OH 44011-4059 | 2006-08-04 |
| 1083892897 | Carolyn B Crowell | Dentist | 36855 American Way Ste C, Avon, OH 44011-4059 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
| 1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
| Find all providers in zip 44011 | ||||
| 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 |
|---|---|---|---|---|
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1902272313 | Gretter Hannah | Dentist | 110b N Avon Ave, Avon, IN 46123-8475 | 2015-08-19 |
| 1154753689 | Carly Anne Ahlbrecht | Dentist | 110 N State Road 267 Ste B, Avon, IN 46123-8475 | 2013-08-07 |
| 1356613228 | Adelina M Das | Dentist | 296 Country Club Rd, Bldg A, Avon, CT 06001-2546 | 2012-02-07 |
| 1700067261 | Dental Health Associates of Indiana | Dentist | 110b North Avon Avenue, Avon, IN 46123 | 2007-11-26 |
| 1891853990 | Brian W Benedict | Dentist | 110-b North State Road 267, Avon, IN 46123-8475 | 2006-12-04 |
| 1235239419 | Andrew J Kuhlberg | Dentist | 70 W Avon Rd, Avon, CT 06001-3517 | 2006-09-25 |
| 1467555995 | Farmington Valley Orthodontic Associates | Dentist | 20 West Avon Road, Suite 102, Avon, CT 06001 | 2006-09-07 |
| 1023503877 | Bbb of In, LLC | Dentist | 110b N Avon Ave, Avon, IN 46123-8475 | 2018-06-25 |
| 1407168685 | Christopher A Murphy | Dentist | 70 W Avon Rd, Avon, CT 06001-3517 | 2010-07-05 |
| Find all providers in AVON | ||||
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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.