Organization Active NPI

Hillcrest Family Dental LLC

  • Dental Clinic/Center
  • Waukesha, WI
National Provider Identifier
1659749778
Registry record updated Sep 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7251-15 Issued in WI
Legal business name
HILLCREST FAMILY DENTAL LLC
Practice address
1751 E Main St
Waukesha, WI 53186-3940
Phone
(262) 544-1755
NPI assigned
Sep 5, 2015
Last updated
Sep 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2015

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

Authorized official

Name
Dr. Ross Oberschlake, D.D.S.
Title
Dentist
Phone
(920) 850-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7251-15 WI Primary

Addresses

Primary practice location

1751 E Main St
Waukesha, WI 53186-3940

Mailing address

1751 E Main St
Waukesha, WI 53186-3940
Phone (262) 544-1755

National Provider Directory

National Provider Directory

Locations

1751 E Main St
Waukesha, WI 53186
Phone (262) 544-1755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441411200000",
    "number": "1659749778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E MAIN ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863940",
            "telephone_number": "262-544-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E MAIN ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863940",
            "telephone_number": "262-544-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A",
        "authorized_official_last_name": "OBERSCHLAKE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-850-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "7251-15",
            "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 5, 2015; 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.