Tammy L Kalsow, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002071-15 Issued in WI

Practice address

6317 Odana Rd
Madison, WI 53719-1107

Phone

(608) 274-1911

Fax

(608) 274-1858

NPI assigned

Jan 11, 2006

Last updated

Jun 12, 2019By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Care Dental, S.C.

  • General Practice Dentistry
  • Madison, WI
  • NPI 1629154430
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1417936162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191107",
            "telephone_number": "608-274-1911",
            "fax_number": "608-274-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191107",
            "telephone_number": "608-274-1911",
            "fax_number": "608-274-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSOW",
        "first_name": "TAMMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002071-15",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "4604-016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Kallas, M.D.
• Mollie Kallas, CSAC, CSIT
• Jean Kalscheur
• Lisa Marie Kalscheur, DNP, APNP, FNP-BC
• Matthew M Kalscheur, MD
• Kennedy Ann Kaltenberg, APSW
• Olivia Anne Kaltved
• Dinushan Chathuranga Kaluarachchi, MD
• Mustapha Kambi, RN
• Iris Kamenev, MD

• General Practice Dentistry in Madison, WI
• Providers in Madison, 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 Jun 12, 2019; 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.