NPIMap

Organization Active NPI

Applewhite Dental Wisconsin, P.C.

Doing business as Pewaukee Dental

  • General Practice Dentistry
  • Pewaukee, WI
National Provider Identifier
1437638103
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPLEWHITE DENTAL WISCONSIN, P.C.
Doing business as
Pewaukee Dental
Practice address
1231 George Towne Dr Ste D
Pewaukee, WI 53072-2756
Phone
(563) 582-1448
NPI assigned
Aug 13, 2018
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
APPLEWHITE DENTAL WISCONSIN, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Emmy Montes
Title
Cbo Supervisor
Phone
(563) 582-1448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1231 George Towne Dr Ste D
Pewaukee, WI 53072-2756

Mailing address

40 Main St Ste 103
Dubuque, IA 52001-7641
Phone (563) 582-1448

Other names 1

  • Pewaukee Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applewhite Dental Wisconsin PC9 organizations share this tax ID, including this one
Part of
Applewhite Dental Wisconsin PC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1231 George Towne Dr
Ste D
Pewaukee, WI 53072
Phone (262) 691-9832

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1437638103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 103",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017641",
            "telephone_number": "563-582-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GEORGE TOWNE DR STE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722756",
            "telephone_number": "563-582-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWHITE DENTAL WISCONSIN, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLEWHITE DENTAL WISCONSIN, P.C.",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "CBO SUPERVISOR",
        "authorized_official_telephone_number": "563-582-1448"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pewaukee Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.