Organization Active NPI

Dental Professionals

  • General Practice Dentistry
  • Germantown, WI
National Provider Identifier
1154437986
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5490-015 Issued in WI
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3169 WI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3507 WI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5490-015 WI Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.