Mequonctd1 LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MEQUONCTD1 LLC

Practice address

7604 W Mequon Rd
Mequon, WI 53097-3215

Phone

(262) 242-8929

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Mitchell Weiland

Title

Assistant Controller

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dennis Walter Engel, DDS

  • Dentist
  • Mequon, WI
  • NPI 1356337356
  NPD (past)
• Scott A. Rennicke, D.D.S.

  • General Practice Dentistry
  • Mequon, WI
  • NPI 1629143912
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1588249148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR STE 103",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172902",
            "telephone_number": "608-343-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973215",
            "telephone_number": "262-242-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEQUONCTD1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mequon Labs Inc
• Mequon Labs Inc
• Mequon Plastic Surgeons SC
• Mequon Speech and Learning Connection (Milwaukee Myo)
• Mequon-Thiensville School District
• Lindsay Corrine Mercen, L.AC
• Jeffrey A Merlin, M.D.
• Madison Jing Meulemans
• Brandon Lee Meye, D.C.
• Kirstin E Meyer, LPC, NCC

• Dentist in Mequon, WI
• Providers in Mequon, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.