Individual provider Active NPI

Anne M Allmann, DDS

  • Dentist
  • Cudahy, WI
National Provider Identifier
1003136953
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6533015 Issued in WI
Practice address
6217 S Packard Ave
Cudahy, WI 53110-3089
Phone
(414) 764-5550
NPI assigned
Jun 2, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6533015 WI Primary

Addresses

Primary practice location

6217 S Packard Ave
Cudahy, WI 53110-3089

Mailing address

6217 S Packard Ave
Cudahy, WI 53110-3089
Phone (414) 764-5550

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160223000694 WI Order and Referring Only - DentistPractitioner - Dentist 8527363993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6533015WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1003136953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103089",
            "telephone_number": "414-764-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103089",
            "telephone_number": "414-764-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLMANN",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6533015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

Verify at the official NPI Registry.