Active NPI
MDC New Berlin, LLC
Doing business as Art of Dentistry
- General Practice Dentistry
- New Berlin, WI
National Provider Identifier
1528515640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MDC NEW BERLIN, LLC
- Doing business as
- Art of Dentistry
- Practice address
- 15738 W National Ave
New Berlin, WI 53151-5119 - Phone
- (262) 784-2110
- NPI assigned
- Sep 7, 2016
- Last updated
- Sep 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher Twohig
- Title
- Director of Developmnet
- Phone
- (920) 602-0007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
15738 W National Ave
New Berlin, WI 53151-5119
Mailing address
7 Sheboygan St
Fond Du Lac, WI 54935-4281
Phone (920) 602-0007
Other names 1
- Art of Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- New Berlin, WI
- NPI 1629163522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1528515640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SHEBOYGAN ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354281",
"telephone_number": "920-602-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15738 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531515119",
"telephone_number": "262-784-2110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDC NEW BERLIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "TWOHIG",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "DIRECTOR OF DEVELOPMNET",
"authorized_official_telephone_number": "920-602-0007",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Art of Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.