NPIMap

Organization Active NPI

Joseph D Deguzman DDS Ms SC

  • Dental Clinic/Center
  • Germantown, WI
National Provider Identifier
1669635066
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4076 Issued in WI
Legal business name
JOSEPH D DEGUZMAN DDS MS SC
Practice address
W172 N9723 Division Road
Suite a
Germantown, WI 53022
Phone
(262) 250-7787
Fax
(262) 250-7785
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Joseph David Deguzman, DDS MS
Title
Owner
Phone
(262) 250-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4076 WI Primary

Addresses

Primary practice location

W172 N9723 Division Road
Suite a
Germantown, WI 53022

Mailing address

W172 N9723 Division Road
Suite a
Germantown, WI 53022
Phone (262) 250-7787

National Provider Directory

National Provider Directory

Locations

W172N9723 Division Rd
Ste A
Germantown, WI 53022
Phone (262) 250-7787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1669635066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W172 N9723 DIVISION ROAD",
            "address_2": "SUITE A",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "53022",
            "telephone_number": "262-250-7787",
            "fax_number": "262-250-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W172 N9723 DIVISION ROAD",
            "address_2": "SUITE A",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "53022",
            "telephone_number": "262-250-7787",
            "fax_number": "262-250-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D DEGUZMAN DDS MS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-250-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.