Thomas J. Radke, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3977 Issued in WI

Practice address

6919 W Forest Home Ave
Greenfield, WI 53220-2916

Phone

(414) 545-8226

Fax

(414) 543-4805

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas J Radke DDS SC

  • General Practice Dentistry
  • Greenfield, WI
  • NPI 1053447060
  NPD (past) Authorized official
• Smile FX

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1356096507
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326191099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 W FOREST HOME AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202916",
            "telephone_number": "414-545-8226",
            "fax_number": "414-543-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 W FOREST HOME AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202916",
            "telephone_number": "414-545-8226",
            "fax_number": "414-543-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eward Protasiewicz Jr., D.C.
• Patrick Quane, HCP
• William Quebrado, PT
• Alexandria Irene Rabe, DPT
• Alexander James Radish, PHARM.D.
• Yerani Radtke
• Desiree Rafel, LPN
• Eric Shawn Ramos Jr., DMD
• Priti Rana, DO
• Spencer Lee Randazzo, DO

• Dentist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.