Individual provider Active NPI

Taylor Leann Dumez, DMD

  • Dentist
  • Mequon, WI
National Provider Identifier
1093373623
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1002030-15 Issued in WI
Practice address
11501 N Port Washington Rd Ste 102
Mequon, WI 53092-3466
Phone
(262) 241-8880
Fax
(262) 241-5250
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1002030-15 WI Primary

Addresses

Primary practice location

11501 N Port Washington Rd Ste 102
Mequon, WI 53092-3466

Mailing address

325 N Broadway Apt 205
Milwaukee, WI 53202-5940
Phone (920) 980-6453

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1002030-15WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1093373623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N BROADWAY APT 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025940",
            "telephone_number": "920-980-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD STE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923466",
            "telephone_number": "262-241-8880",
            "fax_number": "262-241-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMEZ",
        "first_name": "TAYLOR",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002030-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.