Active NPI
Adam Joseph Pamer, D.D.S.
- Pediatric Dentistry
- Mount Pleasant, WI
National Provider Identifier
1396184370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7127-15
- Practice address
- 1320 S Green Bay Rd
Mt Pleasant, WI 53406-4406 - Phone
- (262) 358-9302
- NPI assigned
- Jun 23, 2013
- Last updated
- Jul 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7127-15 | WI | Primary |
Addresses
Primary practice location
1320 S Green Bay Rd
Mt Pleasant, WI 53406-4406
Mailing address
5301 366TH Ave
Burlington, WI 53105-7425
Phone (262) 945-8896
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7127-15 | WI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1396184370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 366TH AVE",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531057425",
"telephone_number": "262-945-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S GREEN BAY RD",
"city": "MT PLEASANT",
"state": "WI",
"postal_code": "534064406",
"telephone_number": "262-358-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMER",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-23",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "7127-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.