Active NPI
Joseph Thomas Erdmann, DDS
- Dentist
- Milwaukee, WI
National Provider Identifier
1295994382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5001320-015
- Practice address
- 411 E Wisconsin Ave
St 525
Milwaukee, WI 53202 - Phone
- (414) 271-2058
- Fax
- (414) 271-9777
- NPI assigned
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5001320-015 | WI | Primary |
Addresses
Primary practice location
411 E Wisconsin Ave
St 525
Milwaukee, WI 53202
Mailing address
411 E Wisconsin Ave
St 525
Milwaukee, WI 53202
Phone (414) 271-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001320-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1295994382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E WISCONSIN AVE",
"address_2": "ST 525",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53202",
"telephone_number": "414-271-2058",
"fax_number": "414-271-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E WISCONSIN AVE",
"address_2": "ST 525",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53202",
"telephone_number": "414-271-2058",
"fax_number": "414-271-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMANN",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5001320-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.