NPIMap

Organization Active NPI

Ziolkowski Dental S.C.

  • Dental Clinic/Center
  • Shorewood, WI
National Provider Identifier
1376676916
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2991-015 Issued in WI
Legal business name
ZIOLKOWSKI DENTAL S.C.
Practice address
3970 N Oakland Ave Ste 403
Shorewood, WI 53211-2265
Phone
(414) 962-0389
Fax
(414) 962-4803
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith Alan Ziolkowski, DDSNPI 1689738155
Title
President
Phone
(414) 962-0389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2991-015 WI Primary

Addresses

Primary practice location

3970 N Oakland Ave Ste 403
Shorewood, WI 53211-2265

Mailing address

3970 N Oakland Ave Ste 403
Shorewood, WI 53211-2265
Phone (414) 962-0389

National Provider Directory

National Provider Directory

Locations

3970 N Oakland Ave
Ste 403
Shorewood, WI 53211
Phone (414) 962-0389

Practitioners & affiliated clinicians

Practitioners 2

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376676916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 403",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-962-0389",
            "fax_number": "414-962-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 403",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-962-0389",
            "fax_number": "414-962-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIOLKOWSKI DENTAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIOLKOWSKI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-962-0389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "2991-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

  • 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.