Affordable Dentures & Implants - Kenosha III, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - KENOSHA III, S.C.

Doing business as

Affordable Dentures & Implants - Kenosha

Practice address

10347 77TH St Ste 630
Pleasant Prairie, WI 53158-1138

Phone

(262) 694-6360

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zahir Siddiqui, DMD

Title

Managing Dentist

Phone

(262) 694-6360

Specialties & licenses 1

Addresses

Other names 1

• Affordable Dentures & Implants - Kenosha Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan A Martino, D.D.S.

  • Dentist
  • Pleasant Prairie, WI
  • NPI 1487046991
  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1104647957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347 77TH ST STE 630",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581138",
            "telephone_number": "262-694-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10347 77TH ST STE 630",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581138",
            "telephone_number": "262-694-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - KENOSHA III, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ZAHIR",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "262-694-6360",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Kenosha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Pain Management SC
• Advantage Physical Therapy & Sports Rehab, LLC (CORA Physical Therapy - Pleasant Prairie)
• Anika Alam, PA
• MHD Anas Alsawaf, MBBS, MD
• Thomas M Ambro, MD
• Daisy Andaleon, M.D.
• McKenna Anderson, OTR/L

• General Practice Dentistry in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.