Organization Active NPI

Eon Clinics

  • Prosthodontics
  • Waukesha, WI
National Provider Identifier
1659654127
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2678-015 Issued in WI
Legal business name
EON CLINICS
Practice address
20700 Swenson Dr
Waukesha, WI 53186-0900
Phone
(262) 798-8880
Fax
(262) 798-8881
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Rajan Sharma, DDS
Title
President
Phone
(262) 798-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 2678-015 WI Primary

Addresses

Primary practice location

20700 Swenson Dr
Waukesha, WI 53186-0900

Mailing address

20700 Swenson Dr
Waukesha, WI 53186-0900
Phone (262) 798-8880

National Provider Directory

National Provider Directory

Locations

20700 Swenson Dr
Waukesha, WI 53186
Phone (262) 798-8880

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1659654127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531860900",
            "telephone_number": "262-798-8880",
            "fax_number": "262-798-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531860900",
            "telephone_number": "262-798-8880",
            "fax_number": "262-798-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EON CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-798-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "2678-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

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