Organization Active NPI

Milwaukee Family Dental Clinic, S.C.

  • General Practice Dentistry
  • Greenfield, WI
National Provider Identifier
1265543300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4742 Issued in WI
Legal business name
MILWAUKEE FAMILY DENTAL CLINIC, S.C.
Practice address
4000 W Howard Ave
Greenfield, WI 53221-1045
Phone
(414) 431-1595
Fax
(414) 431-1876
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose Luis Bartolomei, D.D.S.NPI 1407965098
Title
Owner/President
Phone
(414) 431-1595

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4742 WI Primary

Addresses

Primary practice location

4000 W Howard Ave
Greenfield, WI 53221-1045

Mailing address

4000 W Howard Ave
Greenfield, WI 53221-1045
Phone (414) 431-1595

National Provider Directory

National Provider Directory

Locations

4000 W Howard Ave
Greenfield, WI 53221
Phone (414) 431-1595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265543300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W HOWARD AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532211045",
            "telephone_number": "414-431-1595",
            "fax_number": "414-431-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W HOWARD AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532211045",
            "telephone_number": "414-431-1595",
            "fax_number": "414-431-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE FAMILY DENTAL CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTOLOMEI",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-431-1595",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4742",
            "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 Aug 22, 2020; 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.