The TMJ Center Craniofacial Pain SC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THE TMJ CENTER CRANIOFACIAL PAIN SC

Practice address

6405 Century Ave
Suite 202
Middleton, WI 53562-2200

Phone

(608) 833-0865

Fax

(608) 833-8720

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul A. Insolera, DDS

Title

President

Phone

(608) 833-0865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1477798411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 CENTURY AVE",
            "address_2": "SUITE 202",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622200",
            "telephone_number": "608-833-0865",
            "fax_number": "608-833-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 CENTURY AVE",
            "address_2": "SUITE 202",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622200",
            "telephone_number": "608-833-0865",
            "fax_number": "608-833-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TMJ CENTER CRANIOFACIAL PAIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "INSOLERA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-833-0865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.