Active NPI
Macaire Claire Hulderman, DDS
- Pediatric Dentistry
- Milwaukee, WI
National Provider Identifier
1003262403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1001353-15
- Practice address
- 9000 W. Wisconsin Ave.
Milwaukee, WI 53226 - Phone
- (414) 266-2040
- Fax
- (414) 266-5677
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30025263 | OH | |
| Pediatric Dentistry | 1223P0221X | 30025263 | OH | |
| Pediatric Dentistry | 1223P0221X | 1001353-15 | WI | Primary |
Addresses
Primary practice location
9000 W. Wisconsin Ave.
Milwaukee, WI 53226
Mailing address
9000 W. Wiscosnin Avenue Ms 958
Milwaukee, WI 53226-4874
Phone (414) 266-7615
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003262403 | Medicaid | WI | |
| 0276108 | Medicaid | OH |
Other names 1
- Macaire Claire Thiel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30025263 | OH | MD | Dentist |
| 1001353-15 | WI | MD | Pediatric Dentist |
Interoperability endpoints
- mhulderman71336@direct.chw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1003262403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W. WISCOSNIN AVENUE MS 958",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-7615",
"fax_number": "414-266-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W. WISCONSIN AVE.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-266-2040",
"fax_number": "414-266-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULDERMAN",
"first_name": "MACAIRE",
"middle_name": "CLAIRE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30025263",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30025263",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "1001353-15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003262403",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276108",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MACAIRE",
"last_name": "THIEL",
"middle_name": "CLAIRE",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.