Organization Active NPI

Niesen Orthopedics SC

Doing business as Niesen Orthopedics

  • Orthopaedic Surgery Physician
  • Sun Prairie, WI
National Provider Identifier
1629879440
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NIESEN ORTHOPEDICS SC
Doing business as
Niesen Orthopedics
Practice address
1777 W Main St Ste 102
Sun Prairie, WI 53590-3103
Phone
(608) 577-1055
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Matthew C Niesen, MD MHANPI 1033349840
Title
President
Phone
(608) 577-1055

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1777 W Main St Ste 102
Sun Prairie, WI 53590-3103

Mailing address

1777 W Main St Ste 102
Sun Prairie, WI 53590-3103
Phone (608) 577-1055

Other names 1

  • Niesen Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

1777 W Main St
Ste 102
Sun Prairie, WI 53590
Phone (608) 577-1055

Practitioners & affiliated clinicians

Practitioners 1

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": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1629879440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 102",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903103",
            "telephone_number": "608-577-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 102",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903103",
            "telephone_number": "608-577-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIESEN ORTHOPEDICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "NIESEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-577-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MHA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niesen Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.