NPIMap

Organization Active NPI

William I Schuckit DDS SC

  • Dentist
  • Grafton, WI
National Provider Identifier
1659415305
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5001228015 Issued in WI
Legal business name
WILLIAM I SCHUCKIT DDS SC
Practice address
101 Falls Road
Suite 504
Grafton, WI 53024
Phone
(262) 377-8950
Fax
(262) 377-7801
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Ian Schuckit, DDS
Title
President
Phone
(262) 377-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5001228015 WI Primary

Addresses

Primary practice location

101 Falls Road
Suite 504
Grafton, WI 53024

Mailing address

101 Falls Road
Suite 504
Grafton, WI 53024
Phone (262) 377-8950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659415305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FALLS ROAD",
            "address_2": "SUITE 504",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "53024",
            "telephone_number": "262-377-8950",
            "fax_number": "262-377-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FALLS ROAD",
            "address_2": "SUITE 504",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "53024",
            "telephone_number": "262-377-8950",
            "fax_number": "262-377-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM I SCHUCKIT DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUCKIT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-377-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001228015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.