Anne M Allmann, DDS
Individual provider Active NPI Dentist · Cudahy, WI
NPI 1003136953 · NPPES record last updated Jul 1, 2010
Key facts
- NPI
- 1003136953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6533015 (WI)
- Practice address
- 6217 S Packard Ave
Cudahy, WI 53110-3089 - Phone
- (414) 764-5550
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223000694 | WI | Order and Referring Only - Dentist |
8527363993 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6533015 | WI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6533015 | WI | Yes |
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
Other providers in Cudahy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.