NPIMap

Organization Active NPI

Waukesha Pediatric Dental Care SC

  • Pediatric Dentistry
  • Waukesha, WI
National Provider Identifier
1124168638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WAUKESHA PEDIATRIC DENTAL CARE SC
Practice address
2727 N Grandview Blvd
Suite 206
Waukesha, WI 53188-1671
Phone
(262) 542-8402
Fax
(262) 542-4436
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susann B Norwick, DDS MSNPI 1487745394
Title
Dr Ceo
Phone
(262) 542-8402

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2727 N Grandview Blvd
Suite 206
Waukesha, WI 53188-1671

Mailing address

2727 N Grandview Blvd
Suite 206
Waukesha, WI 53188-1671
Phone (262) 542-8402

National Provider Directory

National Provider Directory

Locations

2727 N Grandview Blvd
Ste 206
Waukesha, WI 53188
Phone (262) 542-8402

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124168638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD",
            "address_2": "SUITE 206",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881671",
            "telephone_number": "262-542-8402",
            "fax_number": "262-542-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD",
            "address_2": "SUITE 206",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881671",
            "telephone_number": "262-542-8402",
            "fax_number": "262-542-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKESHA PEDIATRIC DENTAL CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORWICK",
        "authorized_official_first_name": "SUSANN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR CEO",
        "authorized_official_telephone_number": "262-542-8402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.