James S. Maus, DDS
Individual provider Active NPI Dentist · Iola, WI
NPI 1447523592 · NPPES record last updated Feb 21, 2012
Key facts
- NPI
- 1447523592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2527 - STATE DENTAL (WI)
- Practice address
- 100 Pine Crest Lane
Iola, WI 54945 - Phone
- (715) 445-2435
- Fax
- (715) 445-2554
- NPI assigned
- Feb 21, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2527 - STATE DENTAL | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iola Dental Clinic SC | Past | Accepting new patients | |
| Iola Family Dental, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2527 - STATE DENTAL | WI | Yes |
Addresses
Primary practice location
100 Pine Crest Lane
Iola, WI 54945
Mailing address
100 Pine Crest Lane
Iola, WI 54945
Phone (715) 445-2435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33410900 | Medicaid | WI |
Other providers in Iola, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.