Individual provider Active NPI

Cathleen Marie Czaplicki, D.D.S

  • Dentist
  • Hales Corners, WI
National Provider Identifier
1356558423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4051 Issued in WI
Practice address
6191 S 108TH St..
Hales Corners, WI 53130-2524
Phone
(414) 427-9090
Fax
(414) 427-8390
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Dentist 122300000X 4051 WI Primary

Addresses

Primary practice location

6191 S 108TH St..
Hales Corners, WI 53130-2524

Mailing address

6191 S 108TH St..
Hales Corners, WI 53130-2524
Phone (414) 427-9090

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
I20160104001711 WI Order and Referring Only - DentistPractitioner - Dentist 6800198110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356558423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 S 108TH ST..",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302524",
            "telephone_number": "414-427-9090",
            "fax_number": "414-427-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 S 108TH ST..",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302524",
            "telephone_number": "414-427-9090",
            "fax_number": "414-427-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAPLICKI",
        "first_name": "CATHLEEN",
        "middle_name": "MARIE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

Verify at the official NPI Registry.