Individual provider Active NPI

Eilis Mairead Purath, DDS

  • General Practice Dentistry
  • McFarland, WI
National Provider Identifier
1104529122
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001185-15 Issued in WI
Practice address
4705 Dale Curtin Drive
McFarland, WI 53558-8958
Phone
(608) 838-7474
Fax
(608) 838-1135
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 6001185-15 WI Primary

Addresses

Primary practice location

4705 Dale Curtin Drive
McFarland, WI 53558-8958

Mailing address

4705 Dale Curtin Drive
McFarland, WI 53558-8958
Phone (608) 838-7474

Other practice location 1

5244 Zachary Dr
Mount Pleasant, WI 53403-9795
Phone (262) 909-8625

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
6001185-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dane Dental LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

4705 Dale Curtin Dr
McFarland, WI 53558
Phone (608) 838-7474

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1104529122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 DALE CURTIN DRIVE",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535588958",
            "telephone_number": "608-838-7474",
            "fax_number": "608-838-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 DALE CURTIN DRIVE",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535588958",
            "telephone_number": "608-838-7474",
            "fax_number": "608-838-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5244 Zachary Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534039795",
            "country_code": "US",
            "telephone_number": "262-909-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURATH",
        "first_name": "EILIS",
        "middle_name": "MAIREAD",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001185-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McFarland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.