NPIMap

Organization Active NPI

Applewhite Dental Wisconsin, P.C.

Doing business as New Berlin

  • General Practice Dentistry
  • New Berlin, WI
National Provider Identifier
1154817740
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPLEWHITE DENTAL WISCONSIN, P.C.
Doing business as
New Berlin
New Berlin Dental Group
Practice address
4010 S Church Dr
New Berlin, WI 53151-5608
Phone
(563) 582-1448
Fax
(563) 552-1326
NPI assigned
Jul 6, 2018
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
APPLEWHITE DENTAL WISCONSIN, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Emmy Montes
Title
Cbo Supervisor
Phone
(563) 582-1448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4010 S Church Dr
New Berlin, WI 53151-5608

Mailing address

40 Main St Ste 103
Dubuque, IA 52001-7641
Phone (563) 582-1448

Other names 2

  • New Berlin Doing business as
  • New Berlin Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applewhite Dental Wisconsin PC9 organizations share this tax ID, including this one
Part of
Applewhite Dental Wisconsin PC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4010 S Church Dr
New Berlin, WI 53151
Phone (262) 784-2449

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1154817740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 103",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017641",
            "telephone_number": "563-582-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S CHURCH DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515608",
            "telephone_number": "563-582-1448",
            "fax_number": "563-552-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWHITE DENTAL WISCONSIN, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLEWHITE DENTAL WISCONSIN, P.C.",
        "enumeration_date": "2018-07-06",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "CBO SUPERVISOR",
        "authorized_official_telephone_number": "563-582-1448"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Berlin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Berlin Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.