Organization Active NPI

C. R. Hartmann, D.D.S., S.C.

  • Pediatric Dentistry
  • West Allis, WI
National Provider Identifier
1457642746
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1464 Issued in WI
Legal business name
C. R. HARTMANN, D.D.S., S.C.
Practice address
10202 W Hayes Ave
West Allis, WI 53227-2042
Phone
(414) 543-4700
Fax
(414) 543-4701
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Cliff Hartmann, DDS
Title
President
Phone
(414) 543-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 1464 WI Primary

Addresses

Primary practice location

10202 W Hayes Ave
West Allis, WI 53227-2042

Mailing address

10202 W Hayes Ave
West Allis, WI 53227-2042
Phone (414) 543-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1457642746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 W HAYES AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272042",
            "telephone_number": "414-543-4700",
            "fax_number": "414-543-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 W HAYES AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272042",
            "telephone_number": "414-543-4700",
            "fax_number": "414-543-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. R. HARTMANN, D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-543-4700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.