Individual provider Active NPI

James Lipinski

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, WI
National Provider Identifier
1346380979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3157 Issued in WI
Practice address
7040 N Port Washington Rd
Ste 414
Glendale, WI 53217-3838
Phone
(414) 351-6551
Fax
(414) 351-6148
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3157 WI Primary

Addresses

Primary practice location

7040 N Port Washington Rd
Ste 414
Glendale, WI 53217-3838

Mailing address

7040 N Port Washington Rd
Ste 414
Glendale, WI 53217-3838
Phone (414) 351-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001211 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7113229386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3157WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Dental Group, S.C. PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346380979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 N PORT WASHINGTON RD",
            "address_2": "STE 414",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173838",
            "telephone_number": "414-351-6551",
            "fax_number": "414-351-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 N PORT WASHINGTON RD",
            "address_2": "STE 414",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173838",
            "telephone_number": "414-351-6551",
            "fax_number": "414-351-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPINSKI",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.