Individual provider Active NPI

Susan Marie Chmiel, DDS

  • General Practice Dentistry
  • Franklin, WI
National Provider Identifier
1013923135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5075 Issued in WI
Practice address
7400 W Rawson Ave
Suite 233
Franklin, WI 53132-8278
Phone
(414) 525-0300
Fax
(414) 525-1003
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5075 WI Primary

Addresses

Primary practice location

7400 W Rawson Ave
Suite 233
Franklin, WI 53132-8278

Mailing address

7400 W Rawson Ave
Suite 233
Franklin, WI 53132-8278
Phone (414) 525-0300

Other identifiers 1

IdentifierTypeStateIssuer
1442366OtherWIMILITARY FAMILY INSURANCE

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

LicenseStateTypeSpecialty
5075WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013923135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W RAWSON AVE",
            "address_2": "SUITE 233",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328278",
            "telephone_number": "414-525-0300",
            "fax_number": "414-525-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W RAWSON AVE",
            "address_2": "SUITE 233",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328278",
            "telephone_number": "414-525-0300",
            "fax_number": "414-525-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIEL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY FAMILY INSURANCE",
            "identifier": "1442366",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, 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.

Verify at the official NPI Registry.