Individual provider Active NPI

Aimee M D'Amour, DDS

  • General Practice Dentistry
  • Waunakee, WI
National Provider Identifier
1245674258
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7078-15 Issued in WI
Practice address
5898 Woodland Dr
Waunakee, WI 53597-8714
Phone
(608) 849-4794
NPI assigned
Apr 21, 2013
Last updated
May 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7078-15 WI Primary

Addresses

Primary practice location

5898 Woodland Dr
Waunakee, WI 53597-8714

Mailing address

737 Reflection Dr
Verona, WI 53593
Phone (906) 282-6365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505001545 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587963905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1245674258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 REFLECTION DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "53593",
            "telephone_number": "906-282-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5898 WOODLAND DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535978714",
            "telephone_number": "608-849-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMOUR",
        "first_name": "AIMEE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-21",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7078-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waunakee, WI

Sources for this page

Verify at the official NPI Registry.