Active NPI
Bruno Elmer Schiffleger, DDS
- Prosthodontics
- Lake Geneva, WI
National Provider Identifier
1013096387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 4000999-015
- Practice address
- 255 Havenwood Dr
Lake Geneva, WI 53147-1917 - Phone
- (262) 248-8899
- Fax
- (262) 248-3639
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 4000999-015 | WI | Primary |
Addresses
Primary practice location
255 Havenwood Dr
Lake Geneva, WI 53147-1917
Mailing address
W3790 Potter Rd
Elkhorn, WI 53121-4038
Phone (262) 723-2643
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 |
|---|---|---|---|
| 4000999-015 | WI | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013096387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W3790 POTTER RD",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214038",
"telephone_number": "262-723-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 HAVENWOOD DR",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531471917",
"telephone_number": "262-248-8899",
"fax_number": "262-248-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFLEGER",
"first_name": "BRUNO",
"middle_name": "ELMER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WI",
"license": "4000999-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Geneva, 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.