Dennis G Vincent M D S C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

29313 020 Issued in WI

Legal business name

DENNIS G VINCENT M D S C

Practice address

14555 W National Ave
Ste 175
New Berlin, WI 53157-4484

Phone

(262) 827-3144

Fax

(262) 827-3150

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Dennis Galen Vincent, MD

Title

President

Phone

(262) 827-3144

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1235111535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 W NATIONAL AVE",
            "address_2": "STE 175",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531574484",
            "telephone_number": "262-827-3144",
            "fax_number": "262-827-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 W NATIONAL AVE",
            "address_2": "STE 175",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531574484",
            "telephone_number": "262-827-3144",
            "fax_number": "262-827-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS G VINCENT M D S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "GALEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-827-3144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "29313 020",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "29313 020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31409900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.