NPIMap

Organization Active NPI

Adam F. Dachman DO SC

  • Surgery Physician
  • Dodgeville, WI
National Provider Identifier
1063738748
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36452-021 Issued in WI
Legal business name
ADAM F. DACHMAN DO SC
Practice address
833 S Iowa St
Suite 105
Dodgeville, WI 53533-1900
Phone
(608) 935-2018
Fax
(608) 935-5970
NPI assigned
Apr 20, 2010
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Adam F Dachman, DO
Title
Owner
Phone
(608) 935-2018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 36452-021 WI Primary

Addresses

Primary practice location

833 S Iowa St
Suite 105
Dodgeville, WI 53533-1900

Mailing address

833 S Iowa St
Dodgeville, WI 53533-1900
Phone (608) 935-2018

Other identifiers 1

IdentifierTypeStateIssuer
30065100MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1063738748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-2018",
            "fax_number": "608-935-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST",
            "address_2": "SUITE 105",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-2018",
            "fax_number": "608-935-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM F. DACHMAN DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "DACHMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-935-2018",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "36452-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30065100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.