NPIMap

Organization Active NPI

Donna G. Kraklow D.D.S.

  • General Practice Dentistry
  • Waukesha, WI
National Provider Identifier
1497828172
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4732 Issued in WI
Legal business name
DONNA G. KRAKLOW D.D.S.
Practice address
1507 E Sunset Dr
Suite 110
Waukesha, WI 53189
Phone
(262) 547-4433
Fax
(262) 547-2977
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Donna Gail KraklowNPI 1174786545
Title
General Dentist
Phone
(262) 547-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4732 WI Primary

Addresses

Primary practice location

1507 E Sunset Dr
Suite 110
Waukesha, WI 53189

Mailing address

1507 E Sunset Dr
Suite 110
Waukesha, WI 53189
Phone (262) 547-4433

National Provider Directory

National Provider Directory

Locations

1507 E Sunset Dr
Ste 110
Waukesha, WI 53189
Phone (262) 547-4433

Practitioners & affiliated clinicians

Practitioners 1

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1497828172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E SUNSET DR",
            "address_2": "SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-547-4433",
            "fax_number": "262-547-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E SUNSET DR",
            "address_2": "SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-547-4433",
            "fax_number": "262-547-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA G. KRAKLOW D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "KRAKLOW",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "262-547-4433",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4732",
            "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 Jun 11, 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.