Organization Active NPI

North Shore Audubon Dental, LLC

  • Dental Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1053292060
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTH SHORE AUDUBON DENTAL, LLC
Practice address
555 W Brown Deer Rd Ste 210
Milwaukee, WI 53217-6204
Phone
(414) 352-7700
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Dr. Christopher John Tamsen, DDSNPI 1316470172
Title
Owner
Phone
(414) 940-1630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

555 W Brown Deer Rd Ste 210
Milwaukee, WI 53217-6204

Mailing address

555 W Brown Deer Rd Ste 210
Milwaukee, WI 53217-6204
Phone (414) 352-7700

National Provider Directory

National Provider Directory

Locations

555 W Brown Deer Rd
Ste 210
Milwaukee, WI 53217
Phone (414) 352-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1053292060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W BROWN DEER RD STE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532176204",
            "telephone_number": "414-352-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W BROWN DEER RD STE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532176204",
            "telephone_number": "414-352-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE AUDUBON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "TAMSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-940-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 9, 2025; 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.