Organization Active NPI

Kittleson & Kittleson, S.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cudahy, WI
National Provider Identifier
1124333273
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4648-015 Issued in WI
Legal business name
KITTLESON & KITTLESON, S.C.
Practice address
3527 E Squire Ave
Cudahy, WI 53110-1426
Phone
(414) 744-3500
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. John Clayton Kittleson, D.D.S.
Title
President
Phone
(414) 744-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4648-015 WI Primary

Addresses

Primary practice location

3527 E Squire Ave
Cudahy, WI 53110-1426

Mailing address

3527 E Squire Ave
Cudahy, WI 53110-1426
Phone (414) 744-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1124333273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 E SQUIRE AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101426",
            "telephone_number": "414-744-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 E SQUIRE AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101426",
            "telephone_number": "414-744-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTLESON & KITTLESON, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "KITTLESON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-744-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "4648-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.