Max Meinerz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7067-15 Issued in WI

Practice address

15255 Watertown Plank Road
Suite 100
Elm Grove, WI 53122

Phone

(262) 784-7770

Fax

(262) 784-8045

NPI assigned

Mar 21, 2013

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahp 004 LLC

  dba Virtue Dental

  • General Practice Dentistry
  • Big Bend, WI
  • NPI 1568275071
  NPD (past)

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1639411283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15285 WATERTOWN PLANK ROAD",
            "address_2": "SUITE 200",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-649-4900",
            "fax_number": "262-649-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 WATERTOWN PLANK ROAD",
            "address_2": "SUITE 100",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-784-7770",
            "fax_number": "262-784-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINERZ",
        "first_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7067-15",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Magnus, PT
• Camille Marasigan
• Maria Zanoni Physical Therapy Inc
• Mark Koch DC LLC
• Leah E McMillian, LPC-IT
• Susan Meinerz, D.D.S.
• Autumn Verstegan Melian, LPC
• Lucia Marie Micheli, MSW CADC III
• Andrea Middlesworth, LPC
• Helen L Miller, L.AC.

• General Practice Dentistry in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.