NPIMap

Organization Active NPI

Whitnall Dental

  • General Practice Dentistry
  • Franklin, WI
National Provider Identifier
1073021465
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6886 Issued in WI
Legal business name
WHITNALL DENTAL
Doing business as
Whitnall
Practice address
6522 S Lovers Lane Rd
Franklin, WI 53132-1209
Phone
(414) 425-1101
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Tammy Kevin
Title
Office Manager
Phone
(262) 646-2771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6886 WI Primary

Addresses

Primary practice location

6522 S Lovers Lane Rd
Franklin, WI 53132-1209

Mailing address

920 Indian Spring Dr
Delafield, WI 53018-2242
Phone (262) 646-2771

Other names 1

  • Whitnall Doing business as

National Provider Directory

National Provider Directory

Locations

6522 S Lovers Lane Rd
Franklin, WI 53132
Phone (414) 425-1101

Practitioners & affiliated clinicians

Practitioners 3

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1073021465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 INDIAN SPRING DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182242",
            "telephone_number": "262-646-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 S LOVERS LANE RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321209",
            "telephone_number": "414-425-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNALL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "KEVIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-646-2771"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitnall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.