NPIMap

Organization Active NPI

P.S.Sidhu & Associates

  • General Practice Dentistry
  • West Allis, WI
National Provider Identifier
1679710883
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2560 Issued in WI
Legal business name
P.S.SIDHU & ASSOCIATES
Practice address
1417 S 108TH St
West Allis, WI 53214-4012
Phone
(414) 771-5588
Fax
(414) 771-3564
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Helene Frank
Title
Office Manager
Phone
(414) 771-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2560 WI Primary

Addresses

Primary practice location

1417 S 108TH St
West Allis, WI 53214-4012

Mailing address

1417 S 108TH St
West Allis, WI 53214-4012
Phone (414) 771-5588

National Provider Directory

National Provider Directory
Tax ID family
Capitol Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1679710883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-771-5588",
            "fax_number": "414-771-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-771-5588",
            "fax_number": "414-771-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.S.SIDHU & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "HELENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-771-5588"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2560",
            "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 14, 2009; 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.