Katharine Nelson Suwalski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001452-15 Issued in WI

Practice address

7626 Warren Ave
Wauwatosa, WI 53213-2258

Phone

(414) 550-5507

NPI assigned

Apr 26, 2016

Last updated

Jan 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1396190476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 WARREN AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 WARREN AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132258",
            "telephone_number": "414-550-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON SUWALSKI",
        "first_name": "KATHARINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001452-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimee Victoria Neben, M.D.
• Neeraj Agrawal Clinic LTD
• Michele L. Neils, P.T.
• Candace Jean Neis-Wagner, LCSW
• Sarah Neller
• Anthony Carl Nelson, M.D.
• Melvin Ruthford Nelson, PHD
• Patricia Kay Nelson, APNP
• Shelly R Nelson, LPC, CSW, CSAC
• Stephanie Kristina Nelson, RN, IBCLC

• General Practice Dentistry in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.