NPIMap

Organization Active NPI

Peter F Wilk D.D.S.

  • Dentist
  • Hartford, WI
National Provider Identifier
1679864631
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
500126315 Issued in WI
Legal business name
PETER F WILK D.D.S.
Practice address
1163 Grand Ave
Hartford, WI 53027-2207
Phone
(262) 673-7826
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Peter F Wilk, D.D.S.NPI 1689708612
Title
Owner
Phone
(262) 673-7826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 500126315 WI Primary

Addresses

Primary practice location

1163 Grand Ave
Hartford, WI 53027-2207

Mailing address

1163 Grand Ave
Hartford, WI 53027-2207
Phone (262) 673-7826

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1679864631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 GRAND AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272207",
            "telephone_number": "262-673-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 GRAND AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272207",
            "telephone_number": "262-673-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F WILK D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-673-7826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "500126315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.