Organization Active NPI

Signature Dentistry Brookfield LLC

  • Dental Clinic/Center
  • Brookfield, WI
National Provider Identifier
1295656726
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIGNATURE DENTISTRY BROOKFIELD LLC
Practice address
15375 W Bluemound Rd Ste 150
Brookfield, WI 53005-4008
Phone
(414) 400-3343
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Camille Simper, MBA
Title
Partner
Phone
(414) 400-3343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15375 W Bluemound Rd Ste 150
Brookfield, WI 53005-4008

Mailing address

133 E Beechwood Dr
Mequon, WI 53092-5971
Phone (414) 400-3343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1295656726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BEECHWOOD DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925971",
            "telephone_number": "414-400-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 W BLUEMOUND RD STE 150",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054008",
            "telephone_number": "414-400-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE DENTISTRY BROOKFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "SIMPER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-400-3343",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.