Individual provider Active NPI

William David Behlmer, DDS

  • Dentist
  • Milwaukee, WI
National Provider Identifier
1174639447
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4213015 Issued in WI
Practice address
5007 S Howell Ave
#130
Milwaukee, WI 53207-6157
Phone
(414) 744-3322
Fax
(414) 744-7464
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4213015 WI Primary

Addresses

Primary practice location

5007 S Howell Ave
#130
Milwaukee, WI 53207-6157

Mailing address

5007 S Howell Ave
#130
Milwaukee, WI 53207-6157
Phone (414) 744-3322

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161214000436 WI Order and Referring Only - DentistPractitioner - Dentist 9436439221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4213015WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174639447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 S HOWELL AVE",
            "address_2": "#130",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532076157",
            "telephone_number": "414-744-3322",
            "fax_number": "414-744-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 S HOWELL AVE",
            "address_2": "#130",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532076157",
            "telephone_number": "414-744-3322",
            "fax_number": "414-744-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHLMER",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4213015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.