Organization Active NPI

Doctors' Denture Systems SC

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1174715098
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2614 Issued in WI
Legal business name
DOCTORS' DENTURE SYSTEMS SC
Practice address
9008 W Burleigh St
Milwaukee, WI 53222-3632
Phone
(414) 463-5480
Fax
(414) 463-8003
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Mark J Kneepkens, DDS
Title
President
Phone
(414) 463-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2614 WI Primary

Addresses

Primary practice location

9008 W Burleigh St
Milwaukee, WI 53222-3632

Mailing address

9008 W Burleigh St
Milwaukee, WI 53222-3632
Phone (414) 463-5480

Other identifiers 1

IdentifierTypeStateIssuer
38372300MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Doctors' Denture Systems SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9008 W Burleigh St
Milwaukee, WI 53222
Phone (262) 724-6867

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1174715098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223632",
            "telephone_number": "414-463-5480",
            "fax_number": "414-463-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223632",
            "telephone_number": "414-463-5480",
            "fax_number": "414-463-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' DENTURE SYSTEMS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "KNEEPKENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-463-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38372300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.