Organization Active NPI

Schuckit & Olejniczak Orthodontics, S.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grafton, WI
National Provider Identifier
1528469855
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7185 Issued in WI
Legal business name
SCHUCKIT & OLEJNICZAK ORTHODONTICS, S.C.
Practice address
101 Falls Rd
Suite 504
Grafton, WI 53024-2612
Phone
(262) 377-8950
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. Amanda Olejniczak, D.D.S., M.S.
Title
President/Owner
Phone
(262) 377-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 7185 WI Primary

Addresses

Primary practice location

101 Falls Rd
Suite 504
Grafton, WI 53024-2612

Mailing address

101 Falls Rd
Suite 504
Grafton, WI 53024-2612
Phone (262) 377-8950

National Provider Directory

National Provider Directory

Locations

101 Falls Rd
Ste 504
Grafton, WI 53024
Phone (262) 377-8950

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1528469855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FALLS RD",
            "address_2": "SUITE 504",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242612",
            "telephone_number": "262-377-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FALLS RD",
            "address_2": "SUITE 504",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242612",
            "telephone_number": "262-377-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUCKIT & OLEJNICZAK ORTHODONTICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "OLEJNICZAK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-377-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "7185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.