Active NPI
Robert Walker Mier, D.D.S.
- Oral and Maxillofacial Pathology Dentistry
- Wauwatosa, WI
National Provider Identifier
1104984277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 1001041-15
- Practice address
- 2626 N 76TH St
Suite 105
Wauwatosa, WI 53213-1137 - Phone
- (414) 476-9400
- Fax
- (414) 755-4769
- NPI assigned
- Dec 4, 2006
- Last updated
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 1001041-15 | WI | Primary |
Addresses
Primary practice location
2626 N 76TH St
Suite 105
Wauwatosa, WI 53213-1137
Mailing address
2626 N 76TH St
Suite 105
Wauwatosa, WI 53213-1137
Phone (414) 476-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 3, 2015 through Mar 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001041-15 | WI | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1104984277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N 76TH ST",
"address_2": "SUITE 105",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131137",
"telephone_number": "414-476-9400",
"fax_number": "414-755-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 N 76TH ST",
"address_2": "SUITE 105",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131137",
"telephone_number": "414-476-9400",
"fax_number": "414-755-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIER",
"first_name": "ROBERT",
"middle_name": "WALKER",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "WI",
"license": "1001041-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Pulmonary and Critical Care Associates
- Midwest Rehabilitation Associates, S.C.
- Timothy R Mielke, DDS
- Mark Andrew Milaeger
- Christopher J Milkie, DPM
- Shenell Y Miller-Burns, MD
- Kaija Miller-Kyles
- Charisse Miller, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.