NPIMap

Organization Active NPI

Wisconsin Endodontics SC

Doing business as Endodontic Specialists of Wisconsin - Kenosha

  • Endodontics
  • Kenosha, WI
National Provider Identifier
1528979036
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WISCONSIN ENDODONTICS SC
Doing business as
Endodontic Specialists of Wisconsin - Kenosha
Practice address
7500 Green Bay Rd
Kenosha, WI 53142-4059
Phone
(262) 842-7022
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WISCONSIN ENDODONTICS SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

7500 Green Bay Rd
Kenosha, WI 53142-4059

Mailing address

7500 Green Bay Rd
Kenosha, WI 53142-4059
Phone (262) 842-7022

Other names 1

  • Endodontic Specialists of Wisconsin - Kenosha Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Endodontics SC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1528979036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424059",
            "telephone_number": "262-842-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424059",
            "telephone_number": "262-842-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ENDODONTICS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISCONSIN ENDODONTICS SC",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Specialists of Wisconsin - Kenosha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.