Timothy R Mielke, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5001477015 Issued in WI

Practice address

2600 N Mayfair Rd
Suite 750
Wauwatosa, WI 53226-1309

Phone

(414) 257-3366

Fax

(414) 258-1390

NPI assigned

Mar 14, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wauwatosa Dental Group SC

  • Dentist
  • Wauwatosa, WI
  • NPI 1104885482
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144298266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CRESCENT CT",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133856",
            "telephone_number": "414-257-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 750",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-257-3366",
            "fax_number": "414-258-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001477015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Behavioral Consulting
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Pulmonary and Critical Care Associates
• Midwest Rehabilitation Associates, S.C.
• Robert Walker Mier, D.D.S.
• Mark Andrew Milaeger
• Christopher J Milkie, DPM
• Shenell Y Miller-Burns, MD
• Kaija Miller-Kyles

• Dentist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.