Individual provider Active NPI

Nicole Sawatzke, D.D.S.

  • General Practice Dentistry
  • Franklin, WI
National Provider Identifier
1093152373
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7068-15 Issued in WI
Practice address
6855 S 27TH St
Franklin, WI 53132-8045
Phone
(414) 435-0787
NPI assigned
May 28, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7068-15 WI Primary

Addresses

Primary practice location

6855 S 27TH St
Franklin, WI 53132-8045

Mailing address

6855 S 27TH St
Franklin, WI 53132-8045
Phone (414) 435-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209001300 WI Order and Referring Only - DentistPractitioner - Dentist 1759661689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7068WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates LTD of Wisconsin General Practice PastSince Nov 7, 2015 Accepting new patients
Stat Anesthesia Specialists, LTD. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1093152373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328045",
            "telephone_number": "414-435-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328045",
            "telephone_number": "414-435-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWATZKE",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7068-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.