Active NPI
Dental Professionals
- General Practice Dentistry
- Germantown, WI
National Provider Identifier
1154437986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5490-015
- Legal business name
- DENTAL PROFESSIONALS
- Practice address
- N112W16760 Mequon Rd
Germantown, WI 53022-5814 - Phone
- (262) 255-7820
- Fax
- (262) 255-9969
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Kristopher Zambon, DDS
- Title
- Pediatric Dentist
- Phone
- (262) 255-7820
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3169 | WI | |
| General Practice Dentistry | 1223G0001X | 3507 | WI | |
| General Practice Dentistry | 1223G0001X | 5490-015 | WI | Primary |
| Pediatric Dentistry | 1223P0221X | 5203-015 | WI |
Addresses
Primary practice location
N112W16760 Mequon Rd
Germantown, WI 53022-5814
Mailing address
N112W16760 Mequon Rd
Germantown, WI 53022-5814
Phone (262) 255-7820
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1154437986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N112W16760 MEQUON RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530225814",
"telephone_number": "262-255-7820",
"fax_number": "262-255-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N112W16760 MEQUON RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530225814",
"telephone_number": "262-255-7820",
"fax_number": "262-255-9969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ZAMBON",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "KRISTOPHER",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "262-255-7820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "3169",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "3507",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5490-015",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "5203-015",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.