Donald Wade, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

W3928 Issued in WI

Practice address

1547 E Racine Ave
Waukesha, WI 53186-6826

Phone

(262) 542-4466

NPI assigned

Jan 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wade Family Dental

  • Point of Service
  • Waukesha, WI
  • NPI 1871952820
  NPD (past) Authorized official
• Waukeshactd1 LLC

  • Dentist
  • Waukesha, WI
  • NPI 1356932727
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093866238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 E RACINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866826",
            "telephone_number": "262-542-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 E RACINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866826",
            "telephone_number": "262-542-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "W3928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VT-Telemedicine LLC
• Casey William Vullings
• Megan Vylonis, D.O.
• Desiree Wachtendonk
• Wade Family Dental
• Thomas John Wade, M.D.
• Amber L Wagner, PA-C
• Kayla Rose Wagner, PA-C
• Geneva M Wahl, M.D.
• Katherine Wahlgren

• Dentist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.