Oakbrook Dental Group SC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OAKBROOK DENTAL GROUP SC

Practice address

1201 Oak Street
West Bend, WI 53095

Phone

(262) 335-0822

Fax

(262) 335-0814

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Merry, DDSNPI 1619054186

Title

President

Phone

(262) 338-0022

Specialties & licenses 1

Addresses

Tax ID family

Oakbrook Dental Group SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oakbrook Dental, S.C.

  • Dentist
  • West Bend, WI
  • NPI 1144618125
  NPD tax ID

Locations

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.

• Timothy James Merry, DDS

  • Dentist
  • West Bend, WI
  • NPI 1619054186
  Authorized official Same address or phone

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1477705622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 OAK STREET",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-335-0822",
            "fax_number": "262-335-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK STREET",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-335-0822",
            "fax_number": "262-335-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBROOK DENTAL GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "MERRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-338-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Novinska, MD
• Lynn Nowak, LPC, CSAC
• Mark Y Nunag, M.D.
• Christine O'Callaghan, 17665-130
• Braeden O'Neill, DO
• Oakbrook Dental, S.C.
• Occupational Therapy and Hand Clinic LLC (AKA OT and Hand Clinic)
• Alicia Oestreich
• Mary Ognenoff, OTR
• Julie Ilene Olson, R.N.

• Dentist in West Bend, WI
• Providers in West Bend, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.