Organization Active NPI

Wendy M Pietz, DDS, SC

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenfield, WI
National Provider Identifier
1235251125
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5736 Issued in WI
Legal business name
WENDY M PIETZ, DDS, SC
Practice address
4600 W Loomis Rd
Suite 220
Greenfield, WI 53220-4858
Phone
(414) 281-1881
Fax
(414) 281-2745
NPI assigned
Apr 4, 2007
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Wendy M Pietz, DDSNPI 1790963353
Title
President
Phone
(414) 281-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5736 WI Primary

Addresses

Primary practice location

4600 W Loomis Rd
Suite 220
Greenfield, WI 53220-4858

Mailing address

4600 W Loomis Rd
Suite 220
Greenfield, WI 53220-4858
Phone (414) 281-1881

National Provider Directory

National Provider Directory

Locations

3033 W Layton Ave
Ste 103
Greenfield, WI 53221
Phone (414) 281-1881

4600 W Loomis Rd
Ste 220
Greenfield, WI 53220
Phone (414) 281-1881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1235251125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD",
            "address_2": "SUITE 220",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-281-1881",
            "fax_number": "414-281-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD",
            "address_2": "SUITE 220",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-281-1881",
            "fax_number": "414-281-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY M PIETZ, DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "PIETZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-281-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.