NPIMap

Organization Active NPI

Proven Dental LLC

  • Dental Clinic/Center
  • Waukesha, WI
National Provider Identifier
1477952687
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4761-15 Issued in WI
Legal business name
PROVEN DENTAL LLC
Practice address
1700 Coral Dr
Waukesha, WI 53186-1483
Phone
(262) 650-3000
Fax
(262) 650-3103
NPI assigned
Aug 14, 2014
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. James Francis Murphy, D.D.S.
Title
Owner/Dentist
Phone
(262) 650-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4761-15 WI Primary

Addresses

Primary practice location

1700 Coral Dr
Waukesha, WI 53186-1483

Mailing address

1700 Coral Dr
Waukesha, WI 53186-1483
Phone (262) 650-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1477952687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CORAL DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861483",
            "telephone_number": "262-650-3000",
            "fax_number": "262-650-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CORAL DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861483",
            "telephone_number": "262-650-3000",
            "fax_number": "262-650-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "262-650-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "4761-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.