NPIMap

Organization Active NPI

Dysphagia Testing, LLC

  • Diagnostic Radiology Physician
  • Mequon, WI
National Provider Identifier
1629442181
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33675-20 Issued in WI
Legal business name
DYSPHAGIA TESTING, LLC
Practice address
10638 Hidden Creek Dr
Mequon, WI 53092-8538
Phone
(262) 442-2152
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Susan Joan Riegg, MD
Title
Owner
Phone
(262) 442-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 33675-20 WI Primary

Addresses

Primary practice location

10638 Hidden Creek Dr
Mequon, WI 53092-8538

Mailing address

10638 Hidden Creek Dr
Mequon, WI 53092-8538
Phone (262) 442-2152

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1629442181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10638 HIDDEN CREEK DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530928538",
            "telephone_number": "262-442-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10638 HIDDEN CREEK DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530928538",
            "telephone_number": "262-442-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSPHAGIA TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "RIEGG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-442-2152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "33675-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.