Organization Active NPI

Dental 360 Riverwalk LLC

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1568314144
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL 360 RIVERWALK LLC
Practice address
220 E Pleasant St
Milwaukee, WI 53212-3532
Phone
(312) 909-0761
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Ivana Bueno
Title
Director
Phone
(773) 798-9382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

220 E Pleasant St
Milwaukee, WI 53212-3532

Mailing address

220 E Pleasant St
Milwaukee, WI 53212-3532

National Provider Directory

National Provider Directory

Locations

220 E Pleasant St
Milwaukee, WI 53212
Phone (312) 909-0761

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1568314144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E PLEASANT ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E PLEASANT ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123532",
            "telephone_number": "312-909-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL 360 RIVERWALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-798-9382"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 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.