Individual provider Active NPI

Alia Mentink

  • General Practice Dentistry
  • West Allis, WI
National Provider Identifier
1669261715
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001789 Issued in WI
Practice address
932 S 60TH St Ste 201
West Allis, WI 53214-3369
Phone
(414) 323-2057
Fax
(414) 323-2067
NPI assigned
May 5, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6001789 WI Primary

Addresses

Primary practice location

932 S 60TH St Ste 201
West Allis, WI 53214-3369

Mailing address

932 S 60TH St Ste 201
West Allis, WI 53214-3369

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
6001789WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
True Dental LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1669261715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 S 60TH ST STE 201",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S 60TH ST STE 201",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143369",
            "telephone_number": "414-323-2057",
            "fax_number": "414-323-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTINK",
        "first_name": "ALIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.