Alexis Colosimo, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1000975-15 Issued in WI

Practice address

11035 W Forest Home Ave Ste 116
Hales Corners, WI 53130-2541

Phone

(414) 529-1110

NPI assigned

May 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alexis Belisle Professional name

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 and National Provider Directory roles.

• Paramount Pediatric Dentistry SC

  • Pediatric Dentistry
  • Hales Corners, WI
  • NPI 1831545763
  NPD (past)

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467808592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE STE 116",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE STE 116",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302541",
            "telephone_number": "414-529-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264874",
            "country_code": "US",
            "telephone_number": "414-266-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLOSIMO",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1000975-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BELISLE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robert Chojnacki
• Colleen Alicia Christiansen, MS, LPC
• Keith Douglas Clemence, DDS
• Mark A. Clemence, M.D.
• Andrwew John Collura, SAC-IT
• Jason George Cooper
• Czaplicki Family Dentistry,S.C.
• Cathleen Marie Czaplicki, D.D.S
• Donald John Czaplicki, D.D.S.
• Dale a. Newman S C

• Pediatric Dentistry in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.