Active NPI
Susan Meinerz, D.D.S.
- Dentist
- Elm Grove, WI
National Provider Identifier
1013052364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3428
- Practice address
- 890 Elm Grove Rd
Suite 106
Elm Grove, WI 53122-2528 - Phone
- (262) 784-7770
- Fax
- (262) 784-8045
- NPI assigned
- Feb 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3428 | WI | Primary |
Addresses
Primary practice location
890 Elm Grove Rd
Suite 106
Elm Grove, WI 53122-2528
Mailing address
890 Elm Grove Road
Suite 106
Elm Grove, WI 53122
Phone (262) 784-7770
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 |
|---|---|---|---|
| 3428 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Meinerz DDS, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Elm Grove, WI
- NPI 1023555901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013052364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 ELM GROVE ROAD",
"address_2": "SUITE 106",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "53122",
"telephone_number": "262-784-7770",
"fax_number": "262-784-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 ELM GROVE RD",
"address_2": "SUITE 106",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222528",
"telephone_number": "262-784-7770",
"fax_number": "262-784-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEINERZ",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elm Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.