Kevin Tanty, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6434 Issued in WI

Practice address

15100 Library LN
New Berlin, WI 53151-5291

Phone

(262) 641-0056

NPI assigned

Jul 15, 2009

Last updated

Jul 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kevin Thomas William Tanty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tanty Family Dental

  • Dental Clinic/Center
  • Waukesha, WI
  • NPI 1801400338
  NPD
• Wisconsin Dental Group, S.C.

  dba ForwardDental New Berlin

  • Pediatric Dentistry
  • New Berlin, WI
  • NPI 1952431090
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1215167002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 LIBRARY LN",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515291",
            "telephone_number": "262-641-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 LIBRARY LN",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515291",
            "telephone_number": "262-641-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTY",
        "first_name": "KEVIN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "TANTY",
            "middle_name": "THOMAS WILLIAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Swoboda, M.D.
• Clifford Syner III, PA
• Mathew Syverson, PHARMD
• T Hearts Inc. (Touching Hearts at home)
• Danielle Takala, RPH
• Target
• Katrina M Tarke-Karge, BA, MA
• Talia Tejeda Arias, BCBA, LBA
• Ladonna B Telford, LPN
• Michael A Teller, PT, DPT

• General Practice Dentistry in New Berlin, WI
• Providers in New Berlin, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.