Anna Laura Minnema, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6539-15 Issued in WI

Practice address

501 E Lake St
Horicon, WI 53032

Phone

(920) 485-4831

Fax

(920) 485-6780

NPI assigned

Jun 25, 2010

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anna Laura Kenney Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Esser, Krueger & Borja DDS SC

  • General Practice Dentistry
  • Horicon, WI
  • NPI 1336258557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1679884498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E LAKE ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321264",
            "telephone_number": "920-485-4831",
            "fax_number": "920-485-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LAKE ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "53032",
            "telephone_number": "920-485-4831",
            "fax_number": "920-485-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5337 W Grande Market Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138442",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNEMA",
        "first_name": "ANNA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6539-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KENNEY",
            "middle_name": "LAURA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ellen Killian
• Thoedoer Krueger, D.D.S.
• Tasha Manthey, LPN
• Marshland Chemists, Inc. (Marshland Pharmacy)
• Marshland Pharmacies, Inc (Marshland Pharmacy)
• Megan Elizabeth Oldridge, D.M.D.
• Heather Ann Richardson, RN
• School District of Horicon
• Belinda May Schrubbe, APNP
• Emily Jo Schultz, PSYD.

• General Practice Dentistry in Horicon, WI
• Providers in Horicon, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.