NPIMap

Organization Active NPI

Deborah a Archilletti DDS SC

  • Dentist
  • Sussex, WI
National Provider Identifier
1578625372
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3374 Issued in WI
Legal business name
DEBORAH A ARCHILLETTI DDS SC
Practice address
N63 W23401 Main St.
Sussex, WI 53089
Phone
(262) 246-6806
Fax
(262) 246-6892
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Deborah A Archilletti, DDSNPI 1952545584
Title
Owner Dentist
Phone
(262) 246-8810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3374 WI Primary

Addresses

Primary practice location

N63 W23401 Main St.
Sussex, WI 53089

Mailing address

N63 W23401 Main St.
PO Box 229
Sussex, WI 53089
Phone (262) 246-6806

National Provider Directory

National Provider Directory

Locations

N63W23401 Main St
Sussex, WI 53089
Phone (262) 246-6806

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1578625372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N63 W23401 MAIN ST.",
            "address_2": "PO BOX 229",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "53089",
            "telephone_number": "262-246-6806",
            "fax_number": "262-246-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N63 W23401 MAIN ST.",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "53089",
            "telephone_number": "262-246-6806",
            "fax_number": "262-246-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A ARCHILLETTI DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "ARCHILLETTI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "262-246-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.