Individual provider Active NPI

Amanda Beltrame, DDS

  • General Practice Dentistry
  • West Allis, WI
National Provider Identifier
1407470909
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1002290-15 Issued in WI
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

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1002290-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone West Allis LLC West Allis Dental Care CurrentSince Oct 1, 2023 Accepting new patients
Alison Meudt PastSince Jun 1, 2020 Accepting new patients
Douglas Persich, DDS General Practice PastSince Oct 1, 2023 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.

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.

Verify at the official NPI Registry.