Individual provider Active NPI

Katie Satula, D.D.S.

  • Dentist
  • Hales Corners, WI
National Provider Identifier
1578940375
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001086 - 15 Issued in WI
Practice address
11801 W Janesville Rd Ste 6
Hales Corners, WI 53130-2327
Phone
(414) 425-1510
Fax
(414) 425-1861
NPI assigned
Apr 30, 2015
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001086 - 15 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11801 W Janesville Rd Ste 6
Hales Corners, WI 53130-2327

Mailing address

W198S10846 Racine Ave
Muskego, WI 53150-8457
Phone (414) 550-3525

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

LicenseStateTypeSpecialty
1001086 - 15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Satula Family Dental LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

6220 S 108th St
#C
Hales Corners, WI 53130
Phone (414) 425-1510

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1578940375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W198S10846 RACINE AVE",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508457",
            "telephone_number": "414-550-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 W JANESVILLE RD STE 6",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302327",
            "telephone_number": "414-425-1510",
            "fax_number": "414-425-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATULA",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001086 - 15",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.