NPIMap

Organization Active NPI

Dha Orthodontics West LLC

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1053689554
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5181-015 Issued in WI
Legal business name
DHA ORTHODONTICS WEST LLC
Practice address
7007 Old Sauk Rd
Suite 101
Madison, WI 53717-2307
Phone
(608) 833-6112
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. David T Allen, DDSNPI 1588611941
Title
Orthodontist
Phone
(608) 833-6112

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
Durable Medical Equipment & Medical Supplies 332B00000X 5181-015 WI Primary

Addresses

Primary practice location

7007 Old Sauk Rd
Suite 101
Madison, WI 53717-2307

Mailing address

7007 Old Sauk Rd
Suite 101
Madison, WI 53717-2307
Phone (608) 833-6112

National Provider Directory

National Provider Directory

Locations

7007 Old Sauk Rd
Ste 101
Madison, WI 53717
Phone (608) 833-6112

Practitioners & affiliated clinicians

Practitioners 1

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1053689554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 OLD SAUK RD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172307",
            "telephone_number": "608-833-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 OLD SAUK RD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172307",
            "telephone_number": "608-833-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHA ORTHODONTICS WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "608-833-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "5181-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.