Active NPI
Kumar V. Iyer, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Allis, WI
National Provider Identifier
1215157862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3019
- Practice address
- 1421 S 108TH St
West Allis, WI 53214-4012 - Phone
- (414) 771-5100
- Fax
- (414) 771-2513
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3019 | WI | Primary |
Addresses
Primary practice location
1421 S 108TH St
West Allis, WI 53214-4012
Mailing address
1421 S 108TH St
West Allis, WI 53214-4012
Phone (414) 771-5100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33448200 | Medicaid | WI | |
| 1487738068 | Other | WI | NPI FOR CORPORATION |
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 |
|---|---|---|---|
| 3019 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthodontic Care Center | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Najjar Orthodontics, SC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Allis, WI
- NPI 1487738068
-
dba The Orthodontic Care Center
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Allis, WI
- NPI 1790187417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215157862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 S 108TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144012",
"telephone_number": "414-771-5100",
"fax_number": "414-771-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 S 108TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144012",
"telephone_number": "414-771-5100",
"fax_number": "414-771-2513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYER",
"first_name": "KUMAR",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "3019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33448200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR CORPORATION",
"identifier": "1487738068",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.