NPIMap

Organization Active NPI

1Bubon & Associates, Orthodontics, SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wauwatosa, WI
National Provider Identifier
1235517897
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4015-15 Issued in WI
Legal business name
1BUBON & ASSOCIATES, ORTHODONTICS, SC
Practice address
1701 N Mayfair Rd
Suite C
Wauwatosa, WI 53226-3046
Phone
(262) 522-7447
Fax
(262) 522-7448
NPI assigned
May 14, 2015
Last updated
May 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Dr. Michael S BubonNPI 1265497564
Title
Office Manager
Phone
(262) 522-7447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4015-15 WI Primary

Addresses

Primary practice location

1701 N Mayfair Rd
Suite C
Wauwatosa, WI 53226-3046

Mailing address

N4W21680 Bluemound Rd
Waukesha, WI 53186-2943
Phone (262) 522-7447

National Provider Directory

National Provider Directory
Tax ID family
Bubon Associates Orthodontics SC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 N Mayfair Rd
Ste C
Wauwatosa, WI 53226

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": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1235517897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4W21680 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862943",
            "telephone_number": "262-522-7447",
            "fax_number": "262-522-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAYFAIR RD",
            "address_2": "SUITE C",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263046",
            "telephone_number": "262-522-7447",
            "fax_number": "262-522-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1BUBON & ASSOCIATES, ORTHODONTICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "BUBON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-522-7447",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "4015-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.