Active NPI
Aatif Nowman, DDS
- General Practice Dentistry
- Pewaukee, WI
National Provider Identifier
1669035986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1002274-15
- Practice address
- 1231 George Towne Dr Ste D
Pewaukee, WI 53072-2756 - Phone
- (262) 691-9832
- Fax
- (262) 691-9871
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1002274-15 | WI | |
| General Practice Dentistry | 1223G0001X | 1002274-15 | WI | Primary |
Addresses
Primary practice location
1231 George Towne Dr Ste D
Pewaukee, WI 53072-2756
Mailing address
1231 George Towne Dr Ste D
Pewaukee, WI 53072-2756
Phone (262) 691-9832
Other practice location 1
501 W 14th St
Wilmington, DE 19801-1038
Phone (302) 320-4850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 16, 2021 through Jul 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002274-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racine Dental Center LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Racine, WI
- NPI 1932814670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1669035986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 GEORGE TOWNE DR STE D",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530722756",
"telephone_number": "262-691-9832",
"fax_number": "262-691-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 GEORGE TOWNE DR STE D",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530722756",
"telephone_number": "262-691-9832",
"fax_number": "262-691-9871"
}
],
"practiceLocations": [
{
"address_1": "501 W 14th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198011038",
"country_code": "US",
"telephone_number": "302-320-4850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWMAN",
"first_name": "AATIF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1002274-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002274-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.