Individual provider Active NPI

William Brian Neuschaefer, DDS

  • General Practice Dentistry
  • Brookfield, WI
National Provider Identifier
1013958107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001902-015 Issued in WI
Practice address
125 N Executive Dr
Suite 105
Brookfield, WI 53005-6070
Phone
(262) 784-7201
Fax
(262) 784-0542
NPI assigned
Jun 9, 2006
Sex
Male
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 5001902-015 WI Primary

Addresses

Primary practice location

125 N Executive Dr
Suite 105
Brookfield, WI 53005-6070

Mailing address

18280 High Meadow Dr
Brookfield, WI 53045-3873
Phone (262) 789-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001902-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elmbrook Family Dental Partners SC General Practice Past Accepting new patients
Elmbrook Family Dental, S.C. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013958107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18280 HIGH MEADOW DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453873",
            "telephone_number": "262-789-7474",
            "fax_number": "262-789-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056070",
            "telephone_number": "262-784-7201",
            "fax_number": "262-784-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSCHAEFER",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001902-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.