NPIMap

Individual provider Active NPI

Emily A Stancato, DDS

  • Dentist
  • Union Grove, WI
National Provider Identifier
1639609605
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001649-15 Issued in WI
Practice address
1680 15TH Ave
Union Grove, WI 53182-1525
Phone
(262) 878-1500
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 1001649-15 WI Primary

Addresses

Primary practice location

1680 15TH Ave
Union Grove, WI 53182-1525

Mailing address

1680 15TH Ave
Union Grove, WI 53182-1525
Phone (262) 878-1500

Other practice location 1

N77W15933 Settlers Ct
Menomonee Falls, WI 53051-7449
Phone (262) 951-8055

Other practice location 2

8907 S Howell Ave Ste 400
Oak Creek, WI 53154-4460
Phone (414) 304-5425

Other names 1

  • Emily A Pohl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1001649-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Grove Family Dental, LLC CurrentSince Feb 7, 2021 Accepting new patients
The Family Dentists PastSince Feb 7, 2021 Accepting new patients

Locations

1680 15th Ave
Union Grove, WI 53182
Phone (262) 878-1500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639609605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 15TH AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821525",
            "telephone_number": "262-878-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 15TH AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821525",
            "telephone_number": "262-878-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N77W15933 Settlers Ct",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530517449",
            "country_code": "US",
            "telephone_number": "262-951-8055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8907 S Howell Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531544460",
            "country_code": "US",
            "telephone_number": "414-304-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANCATO",
        "first_name": "EMILY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001649-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "POHL",
            "middle_name": "A",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.