Individual provider Active NPI

Todd Christopher Pierce, PCW

  • Community Health Worker
  • Milwaukee, WI
National Provider Identifier
1376721902
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
172V00000X Issued in WI
Practice address
4007 W Concordia Ave
Milwaukee, WI 53216
Phone
(414) 449-9877
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 172V00000X WI Primary
Lodging Provider 177F00000X 177F00000X WI

Addresses

Primary practice location

4007 W Concordia Ave
Milwaukee, WI 53216

Mailing address

4007 W Concordia Ave
Milwaukee, WI 53216-3623
Phone (414) 449-9877

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
172V00000XWIMDCommunity Health Worker
177F00000XWIMDLodging Provider

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1376721902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 W CONCORDIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163623",
            "telephone_number": "414-449-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 W CONCORDIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-449-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TODD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PCW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WI",
            "license": "172V00000X",
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "WI",
            "license": "177F00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2008; 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.