Active NPI
David Howard Jadin, D.D.S.
- Pediatric Dentistry
- Elm Grove, WI
National Provider Identifier
1346667045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7286-15
- Practice address
- 12910 W Bluemound Rd
Elm Grove, WI 53122-2606 - Phone
- (262) 456-5346
- Fax
- (262) 649-4910
- NPI assigned
- Mar 20, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7286-15 | WI | Primary |
Addresses
Primary practice location
12910 W Bluemound Rd
Elm Grove, WI 53122-2606
Mailing address
12910 W Bluemound Rd
Elm Grove, WI 53122-2606
Phone (262) 456-5346
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 |
|---|---|---|---|
| 7286-15 | WI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1346667045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 W BLUEMOUND RD",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222606",
"telephone_number": "262-456-5346",
"fax_number": "262-649-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12910 W BLUEMOUND RD",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222606",
"telephone_number": "262-456-5346",
"fax_number": "262-649-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADIN",
"first_name": "DAVID",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-20",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "7286-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elm Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.