James Richard Szymczak, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5000831015 Issued in WI

Practice address

12660 W North Ave
Brookfield, WI 53005-4633

Phone

(262) 796-1312

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Eastbrook Dental

  • General Practice Dentistry
  • Brookfield, WI
  • NPI 1669518213
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1639147358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054633",
            "telephone_number": "262-796-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054633",
            "telephone_number": "262-796-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMCZAK",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5000831015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EASTBROOK DENTAL ASSOCIATES",
            "identifier": "1669518213",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Sylvester, APNP
• Systemic Perspectives, Inc.
• Nicole Szaniawski, RDN, CD
• Michael P. Szatalowicz, D.C.
• Sue A Szymanski, MT MASSAGE THERAPIST
• T G Green DO SC
• Michael Anthony Tabor, MSPT
• Thomas A Taft, MD
• Sarah Tajnai
• Thomas T Tang, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.