Eyad Bittar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1001850 Issued in WI

Practice address

N84W15959 Appleton Ave
Menomonee Falls, WI 53051-3044

Phone

(262) 251-6555

NPI assigned

Jun 8, 2018

Last updated

Jan 6, 2021By the provider in NPPES

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Eyad Bittar DDS LLC

  dba Avenue Dental Group

  • Dentist
  • Menomonee Falls, WI
  • NPI 1497343362
  NPD Authorized official
• Brian a. Stark, D.D.S., S.C.

  dba Avenue Dental Group

  • Dental Clinic/Center
  • Menomonee Falls, WI
  • NPI 1609930627
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1164915799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N84W15959 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513044",
            "telephone_number": "262-251-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N84W15959 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513044",
            "telephone_number": "262-251-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTAR",
        "first_name": "EYAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Bibis, PT
• Jenna Biesterfeld, DPT
• Trenton Biesterfeld, PT, DPT
• Bioresolutions LLC (Halo Wound Solutions)
• Mary Margaret Birschbach, OTR
• Samantha Goeke Blackburn, PA-C
• Steve L Blackburn, MHA, MPAS, PA-C
• David Warren Blanchard, D.D.S.
• Ryan Blaney, PT, DPT
• Patricia Jean Blankenmeyer Kohl

• Dentist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.