Active NPI
Tam Au, DDS
- Dentist
- Eau Claire, WI
National Provider Identifier
1154053965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001010-15
- Practice address
- 3203 Stein Blvd
Eau Claire, WI 54701-6917 - Phone
- (715) 834-1060
- NPI assigned
- Jun 29, 2022
- Last updated
- Jun 29, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6001010-15 | WI | Primary |
Addresses
Primary practice location
3203 Stein Blvd
Eau Claire, WI 54701-6917
Mailing address
316 Colome St Apt F
Chippewa Falls, WI 54729-3817
Phone (224) 310-7469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001010-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1154053965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 COLOME ST APT F",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293817",
"telephone_number": "224-310-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 STEIN BLVD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016917",
"telephone_number": "715-834-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU",
"first_name": "TAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001010-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.