NPIMap

Organization Active NPI

Marion Family Dental Clinic

  • Dental Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1487811188
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARION FAMILY DENTAL CLINIC
Practice address
4302 N 76TH Street
Milwaukee, WI 53222
Phone
(414) 462-9420
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Thomas McCarthy, DDS
Title
Owner
Phone
(262) 786-4819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4302 N 76TH Street
Milwaukee, WI 53222

Mailing address

4302 N 7TH Street
Milwaukee, WI 53222
Phone (414) 462-9420

National Provider Directory

National Provider Directory

Locations

4302 N 76th St
Milwaukee, WI 53222
Phone (414) 462-9420

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1487811188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 N 7TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53222",
            "telephone_number": "414-462-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 N 76TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53222",
            "telephone_number": "414-462-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION FAMILY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-786-4819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.