DCP of Delafield (Milwaukee), LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DCP OF DELAFIELD (MILWAUKEE), LLC

Doing business as

DentalWorks

Practice address

1300 Capitol Drive
Suite a
Pewaukee, WI 53072-2535

Phone

(262) 691-4140

Fax

(262) 691-3359

NPI assigned

Sep 24, 2009

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Dave Krause

Title

Treasurer

Phone

(800) 487-4867

Specialties & licenses 2

Addresses

Other names 1

• DentalWorks Doing business as

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1003140070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PARKWAY #1070",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-755-0880",
            "fax_number": "972-755-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAPITOL DRIVE",
            "address_2": "SUITE A",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722535",
            "telephone_number": "262-691-4140",
            "fax_number": "262-691-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCP OF DELAFIELD (MILWAUKEE), LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2009-09-24",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "800-487-4867"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6155",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Colleen Daly, ATC
• Derek Scott Damrow, M.D.
• Natalie Daniel, DPT
• William Alexander Davies, M.D.
• Katelyn Ann Dawson, D.C.
• Deaf-Talk, Inc. (DT Interpreting)
• Meredith Lynn Deback-Gast, DPT
• Elizabeth Marie Dellemann, RN
• Stephanie Hall Delmore, LPC
• Patricia Dennison, RN

• General Practice Dentistry in Pewaukee, WI
• Providers in Pewaukee, 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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.