Active NPI
John Christian Densmore, M.D.
- Pediatric Surgery Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 44081
- Practice address
- 9000 W Wisconsin Ave
Milwaukee, WI 53226-4874 - Phone
- (414) 266-6550
- Fax
- (414) 266-6579
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 44081 | WI | Primary |
| Surgery Physician | 208600000X | 44081-020 | WI |
Addresses
Primary practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-6550
Other practice location 1
2575 E Evergreen Drive
Appleton, WI 54913-8904
Phone (920) 969-5353
Other practice location 2
4855 S Moorland Rd
New Berlin, WI 53151-7494
Phone (414) 266-6550
Other practice location 3
999 N 92nd St
Suite C320
Milwaukee, WI 53226-4875
Phone (414) 266-6660
Other practice location 4
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508930033 | Medicaid | WI |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44081-020 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Surgery | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Children'S Specialty Group, Inc. | Current | Accepting new patients |
Locations
2575 E Evergreen Dr
Appleton, WI 54913
Phone (920) 969-5353
4855 S Moorland Rd
New Berlin, WI 53151
Phone (262) 432-7599
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- jdensmore5863@direct.chw.org
- john.densmore@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Surgery
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1508930033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-6550",
"fax_number": "414-266-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-6550",
"fax_number": "414-266-6579"
}
],
"practiceLocations": [
{
"address_1": "2575 E Evergreen Drive",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549138904",
"country_code": "US",
"telephone_number": "920-969-5353",
"fax_number": "414-337-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4855 S Moorland Rd",
"address_purpose": "LOCATION",
"city": "New Berlin",
"state": "WI",
"postal_code": "531517494",
"country_code": "US",
"telephone_number": "414-266-6550",
"fax_number": "414-266-6579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 N 92nd St",
"address_2": "Suite C320",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264875",
"country_code": "US",
"telephone_number": "414-266-6660",
"fax_number": "414-266-6579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-5800",
"fax_number": "414-805-8097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENSMORE",
"first_name": "JOHN",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "WI",
"license": "44081",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "44081-020",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508930033",
"state": "WI"
}
],
"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 Mar 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.