Gregory T Isermann DDS Ms SC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

1582G Issued in WI

Legal business name

GREGORY T ISERMANN DDS MS SC

Practice address

3500 Meachem Road
Racine, WI 53405-4662

Phone

(262) 554-7782

Fax

(262) 554-8891

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory T Isermann, DDS MS

Title

President

Phone

(262) 554-7782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366546996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MEACHEM ROAD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054662",
            "telephone_number": "262-554-7782",
            "fax_number": "262-554-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MEACHEM ROAD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054662",
            "telephone_number": "262-554-7782",
            "fax_number": "262-554-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY T ISERMANN DDS MS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISERMANN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-554-7782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "1582G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.