Individual provider Active NPI

Andrew Somthala Onela, DDS

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1376615583
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5102-015 Issued in WI
Practice address
2727 W Cleveland Ave
Milwaukee, WI 53215-2956
Phone
(414) 383-5500
Fax
(414) 383-5400
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5102-015 WI Primary

Addresses

Primary practice location

2727 W Cleveland Ave
Milwaukee, WI 53215-2956

Mailing address

2727 W Cleveland Ave
Milwaukee, WI 53215-2956
Phone (414) 383-5500

Other names 1

  • Somthala Onela Former name

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

LicenseStateTypeSpecialty
5102-015WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1376615583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152956",
            "telephone_number": "414-383-5500",
            "fax_number": "414-383-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152956",
            "telephone_number": "414-383-5500",
            "fax_number": "414-383-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONELA",
        "first_name": "ANDREW",
        "middle_name": "SOMTHALA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5102-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOMTHALA",
            "last_name": "ONELA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 25, 2010; 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.