Individual provider Active NPI

Grace Kim Tosi, DDS

  • Dentist
  • Brookfield, WI
National Provider Identifier
1215570528
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1002213 Issued in WI
Practice address
15375 W Bluemound Rd Ste 150
Brookfield, WI 53005-4008
Phone
(262) 923-8731
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1002213 WI Primary

Addresses

Primary practice location

15375 W Bluemound Rd Ste 150
Brookfield, WI 53005-4008

Mailing address

36078 Ravinia Park Blvd
Oconomowoc, WI 53066-9204
Phone (414) 935-8293

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

LicenseStateTypeSpecialty
1002213WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DCP of Brookfield Square, LLC Dentist PastSince Oct 27, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1215570528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36078 RAVINIA PARK BLVD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669204",
            "telephone_number": "414-935-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 W BLUEMOUND RD STE 150",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054008",
            "telephone_number": "262-923-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSI",
        "first_name": "GRACE",
        "middle_name": "KIM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.