Organization Active NPI

NJM Family Dental

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1366022071
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NJM FAMILY DENTAL
Practice address
5954 S 27TH St
Milwaukee, WI 53221-4803
Phone
(414) 282-4230
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Michael E Martin
Title
Owner
Phone
(414) 517-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5954 S 27TH St
Milwaukee, WI 53221-4803

Mailing address

5954 S 27TH St
Milwaukee, WI 53221-4803
Phone (414) 282-4230

Other names 1

  • Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5954 S 27th St
Milwaukee, WI 53221
Phone (414) 282-4230

Practitioners & affiliated clinicians

Practitioners 1

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": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1366022071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214803",
            "telephone_number": "414-282-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5954 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214803",
            "telephone_number": "414-282-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJM FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-517-6040"
    },
    "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": "Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.