NPIMap

Organization Active NPI

Your Family Dentist, LLC

  • Dental Clinic/Center
  • Waukesha, WI
National Provider Identifier
1114282829
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4761-15 Issued in WI
Legal business name
YOUR FAMILY DENTIST, LLC
Practice address
411 N Grand Ave
Suite 103
Waukesha, WI 53186-4961
Phone
(262) 513-5677
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. James F. MurphyNPI 1669591780
Title
Partner
Phone
(262) 513-5677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4761-15 WI Primary

Addresses

Primary practice location

411 N Grand Ave
Suite 103
Waukesha, WI 53186-4961

Mailing address

411 N Grand Ave
Suite 103
Waukesha, WI 53186-4961
Phone (262) 513-5677

National Provider Directory

National Provider Directory

Locations

411 N Grand Ave
Ste 103
Waukesha, WI 53186
Phone (262) 513-5677

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1114282829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N GRAND AVE",
            "address_2": "SUITE 103",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864961",
            "telephone_number": "262-513-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N GRAND AVE",
            "address_2": "SUITE 103",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864961",
            "telephone_number": "262-513-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY DENTIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "262-513-5677",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "4761-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.