Individual provider Active NPI

David W Belardi, D.D.S.

  • Endodontics
  • Milwaukee, WI
National Provider Identifier
1184879108
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5000872-015 Issued in WI
Practice address
10401 W Lincoln Ave
Ste. 104
Milwaukee, WI 53227-1255
Phone
(414) 546-1900
NPI assigned
Nov 18, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5000872-015 WI Primary

Addresses

Primary practice location

10401 W Lincoln Ave
Ste. 104
Milwaukee, WI 53227-1255

Mailing address

10401 W Lincoln Ave
Ste. 104
Milwaukee, WI 53227-1255
Phone (414) 546-1900

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
I20140128000369 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719116565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5000872-015WIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Specialists, S.C. Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1184879108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 W LINCOLN AVE",
            "address_2": "STE. 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532271255",
            "telephone_number": "414-546-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W LINCOLN AVE",
            "address_2": "STE. 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532271255",
            "telephone_number": "414-546-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELARDI",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "5000872-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.