NPIMap

Organization Active NPI

Summit Dental Excellence

  • Dentist
  • Oconomowoc, WI
National Provider Identifier
1073971149
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3046 Issued in WI
Legal business name
SUMMIT DENTAL EXCELLENCE
Practice address
850 Summit Ave Stop 1
Oconomowoc, WI 53066-3920
Phone
(262) 567-0470
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Matthew L Lehman, DDS
Title
Owner Dentist
Phone
(262) 567-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3046 WI Primary

Addresses

Primary practice location

850 Summit Ave Stop 1
Oconomowoc, WI 53066-3920

Mailing address

850 Summit Ave Stop 1
Oconomowoc, WI 53066-3920
Phone (262) 567-0470

Other names 1

  • Matthew L Lehman, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

850 Summit Ave
Stop 1
Oconomowoc, WI 53066
Phone (262) 567-0470

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": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1073971149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SUMMIT AVE STOP 1",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663920",
            "telephone_number": "262-567-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SUMMIT AVE STOP 1",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663920",
            "telephone_number": "262-567-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "262-567-0470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew L Lehman, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.