NPIMap

Organization Active NPI

Prosthodontic Solutions LLC

  • Dental Clinic/Center
  • Brookfield, WI
National Provider Identifier
1306232376
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PROSTHODONTIC SOLUTIONS LLC
Practice address
19990 W Greenfield Ave
Brookfield, WI 53045-3733
Phone
(262) 787-0677
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Michael Patrick Waliszewski, DDS, MSDNPI 1609913367
Title
Owner
Phone
(262) 787-0677

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
Dental Clinic/Center 261QD0000X WI Primary

Addresses

Primary practice location

19990 W Greenfield Ave
Brookfield, WI 53045-3733

Mailing address

19990 W Greenfield Ave
Brookfield, WI 53045-3733
Phone (262) 787-0677

National Provider Directory

National Provider Directory

Locations

19990 W Greenfield Ave
Brookfield, WI 53045
Phone (262) 787-0677

Practitioners 2

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": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1306232376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19990 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453733",
            "telephone_number": "262-787-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19990 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453733",
            "telephone_number": "262-787-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "WALISZEWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-787-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "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 Jan 22, 2016; 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.