Active NPI
Amanda Beltrame, DDS
- General Practice Dentistry
- West Allis, WI
National Provider Identifier
1407470909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1002290-15
- Practice address
- 7130 W Greenfield Ave
West Allis, WI 53214-4781 - Phone
- (414) 258-2500
- NPI assigned
- Jun 1, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1002290-15 | WI | Primary |
Addresses
Primary practice location
7130 W Greenfield Ave
West Allis, WI 53214-4781
Mailing address
2320 E Moreland Blvd Ste a
Waukesha, WI 53186-2948
Phone (262) 524-9000
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 |
|---|---|---|---|
| 1002290-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone West Allis LLC West Allis Dental Care | Current | Accepting new patients | |
| Alison Meudt | Past | Accepting new patients | |
| Douglas Persich, DDS | General Practice | Past | Accepting new patients |
Locations
7130 W Greenfield Ave
West Allis, WI 53214
Phone (414) 258-2500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- West Allis, WI
- NPI 1588297584
-
- Dentist
- Waukesha, WI
- NPI 1154683696
-
- General Practice Dentistry
- West Allis, WI
- NPI 1174604888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1407470909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 E MORELAND BLVD STE A",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862948",
"telephone_number": "262-524-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144781",
"telephone_number": "414-258-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAME",
"first_name": "AMANDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002290-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.