Organization Active NPI

Untethered Tongue Tie Center LLC

  • Dental Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1386217057
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNTETHERED TONGUE TIE CENTER LLC
Practice address
2524 E Webster PL Ste 201
Milwaukee, WI 53211-4257
Phone
(414) 441-2418
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dr. Megan GrahamNPI 1174751523
Title
Owner/Sole MBR
Phone
(414) 441-2418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2524 E Webster PL Ste 201
Milwaukee, WI 53211-4257

Mailing address

2524 E Webster PL Ste 201
Milwaukee, WI 53211-4257

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1386217057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257",
            "telephone_number": "414-441-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTETHERED TONGUE TIE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/SOLE MBR",
        "authorized_official_telephone_number": "414-441-2418",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 21, 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.