Matthew Henry Langewisch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5824-15 Issued in WI

Practice address

5019 W North Ave
Milwaukee, WI 53208-1121

Phone

(414) 445-6500

Fax

(414) 445-6618

NPI assigned

Dec 27, 2006

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Male

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.

• Dr Neil E Peterson & Assoc

  dba Westgate Dental Group

  • Dentist
  • Milwaukee, WI
  • NPI 1679778138
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1427114453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BERGEN DR",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172310",
            "telephone_number": "414-540-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081121",
            "telephone_number": "414-445-6500",
            "fax_number": "414-445-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEWISCH",
        "first_name": "MATTHEW",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026563",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5824-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Langemeier
• Angela Langenfeld, LPC-IT, SAC-IT
• Peter Langenstroer, MD
• Bridget Langer, MS
• Jeff Langer, RPH
• Thomas James Langham, M.ED.,COMS
• Langlade House LLC
• Dione Langley, M.S.,CCC-SLP
• Christopher Langlo, MD, PHD
• Maya Langman, MD

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.