Organization Active NPI

Dentistry of Wisconsin

  • General Practice Dentistry
  • Sun Prairie, WI
National Provider Identifier
1437219417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2433 Issued in WI
Legal business name
DENTISTRY OF WISCONSIN
Practice address
1260 W Main St
Suite 1
Sun Prairie, WI 53590-1930
Phone
(608) 834-8668
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Amstadt, DDSNPI 1982636353
Title
Owner
Phone
(608) 834-6321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2433 WI Primary

Addresses

Primary practice location

1260 W Main St
Suite 1
Sun Prairie, WI 53590-1930

Mailing address

1260 W Main St
Suite 1
Sun Prairie, WI 53590-1930
Phone (608) 834-8668

National Provider Directory

National Provider Directory

Locations

1260 W Main St
#1
Sun Prairie, WI 53590
Phone (608) 834-6321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437219417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901930",
            "telephone_number": "608-834-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901930",
            "telephone_number": "608-834-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMSTADT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-834-6321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.