NPIMap

Organization Active NPI

Behrend Family Dentistry and Associates, S.C.

  • General Practice Dentistry
  • East Troy, WI
National Provider Identifier
1346071859
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEHREND FAMILY DENTISTRY AND ASSOCIATES, S.C.
Practice address
2481 Executive Dr
East Troy, WI 53120-2579
Phone
(262) 642-5695
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dr. Maxwell Weitzel Behrend, DDSNPI 1578314084
Title
President
Phone
(219) 299-3089

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 Primary

Addresses

Primary practice location

2481 Executive Dr
East Troy, WI 53120-2579

Mailing address

2713 Burries Rd
Hartland, WI 53029-9352
Phone (219) 299-3089

Other names 1

  • East Troy Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2481 Executive Dr
East Troy, WI 53120
Phone (262) 642-5695

Practitioners & affiliated clinicians

Practitioners 5

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": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1346071859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 BURRIES RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299352",
            "telephone_number": "219-299-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 EXECUTIVE DR",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531202579",
            "telephone_number": "262-642-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHREND FAMILY DENTISTRY AND ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BEHREND",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "WEITZEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-299-3089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Troy Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Troy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.