David C Thao, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6515 Issued in WI

Practice address

8700 W Watertown Plank Rd
Wauwatosa, WI 53226-3595

Phone

(414) 453-0445

NPI assigned

May 31, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1508185596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W WATERTOWN PLANK RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263595",
            "telephone_number": "414-453-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W WATERTOWN PLANK RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263595",
            "telephone_number": "414-453-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolf R Teschan, MD
• Karen Ruth Teschner
• Jeffrey D Tezak, PT
• Anjali D Thakrar, PAC
• Ilakkiya Thanigaivelan, MD
• The Kidney Institute, LTD.
• The Lactation Clinic of Southeast Wisconsin, Inc
• The Lutheran Home, Inc.
• The Redi Clinic of Wauwatosa, SC
• The Wisconsin Heart Hospital, Inc

• Dentist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.