Active NPI
Dylan Handlin, D.M.D.
- Dentist
- Verona, WI
National Provider Identifier
1548084387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 600169915
- Practice address
- 927 N Main St
Verona, WI 53593-1913 - Phone
- (608) 848-2000
- NPI assigned
- Nov 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 600169915 | WI | Primary |
Addresses
Primary practice location
927 N Main St
Verona, WI 53593-1913
Mailing address
3005 Springwood Dr
Springfield, IL 62712-5831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600169915 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1548084387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 SPRINGWOOD DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627125831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 N MAIN ST",
"city": "VERONA",
"state": "WI",
"postal_code": "535931913",
"telephone_number": "608-848-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLIN",
"first_name": "DYLAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "600169915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.