Active NPI
Lorraine Pagel
- Dentist
- Whitefish Bay, WI
National Provider Identifier
1194122010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3253
- Practice address
- 155 E Silver Spring Dr Ste 209
Whitefish Bay, WI 53217-4704 - Phone
- (414) 332-5800
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3253 | WI | Primary |
Addresses
Primary practice location
155 E Silver Spring Dr Ste 209
Whitefish Bay, WI 53217-4704
Mailing address
155 E Silver Spring Dr Ste 209
Whitefish Bay, WI 53217-4704
Phone (414) 332-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3253 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1194122010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E SILVER SPRING DR STE 209",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532174704",
"telephone_number": "414-332-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E SILVER SPRING DR STE 209",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532174704",
"telephone_number": "414-332-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGEL",
"first_name": "LORRAINE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.