Todd Keith Engel, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4765-015 Issued in WI

Practice address

12660 W North Ave
Building D
Brookfield, WI 53005-4633

Phone

(262) 432-1600

Fax

(262) 432-0227

NPI assigned

Oct 3, 2006

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Endodontic Associates, LTD.

  • Endodontics
  • Brookfield, WI
  • NPI 1417002452
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154415263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 W NORTH AVE",
            "address_2": "BUILDING D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054633",
            "telephone_number": "262-432-1600",
            "fax_number": "262-432-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 W NORTH AVE",
            "address_2": "BUILDING D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054633",
            "telephone_number": "262-432-1600",
            "fax_number": "262-432-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "TODD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "4765-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergency Room Specialists, S.C.
• Emerging Vision, Inc
• Andrea Emmerich, MSCCC-SLP
• Endodontic Associates, LTD.
• Elizabeth Nowlin Eng, OTR/L
• David E Engle, M.D.
• Angela Frances English, D.C.
• Madalynn Marguerite English
• David J Engstrand, MD
• Brittney Mae Epple

• Endodontics in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.