Active NPI
Arthur David Zehm, DDS
- Dentist
- Superior, WI
National Provider Identifier
1063632552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4095
- Practice address
- 1507 Tower Ave
Ste 409
Superior, WI 54880 - Phone
- (715) 392-3499
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4095 | WI | Primary |
| Dentist | 122300000X | 9968 | MN |
Addresses
Primary practice location
1507 Tower Ave
Ste 409
Superior, WI 54880
Mailing address
1507 Tower Ave
Ste 409
Superior, WI 54880
Phone (715) 394-9631
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4095 | WI | MD | Critical Care Medicine Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063632552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 TOWER AVE",
"address_2": "STE 409",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "54880",
"telephone_number": "715-394-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 TOWER AVE",
"address_2": "STE 409",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "54880",
"telephone_number": "715-392-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEHM",
"first_name": "ARTHUR",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "4095",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "9968",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, 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.