Peter James Colosimo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7270-15 Issued in WI

Practice address

3970 N Oakland Ave
Suite #702
Shorewood, WI 53211-2265

Phone

(414) 332-8150

NPI assigned

Jun 16, 2014

Last updated

Jul 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shorewood Family Dentistry, LLC

  • General Practice Dentistry
  • Shorewood, WI
  • NPI 1336803600
  NPD Authorized official
• Molars by Mueller

  dba Shorewood Family Dentistry

  • General Practice Dentistry
  • Shorewood, WI
  • NPI 1477438679
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1679987838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE",
            "address_2": "SUITE #702",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-332-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE",
            "address_2": "SUITE #702",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-332-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOSIMO",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7270-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Christensen
• Noel Anne Clark, MS CCC SLP
• Tayler Simone Clark, LCSW
• Robert Edward Coleman Jr., ND, LMT
• Salonda Coleman
• Peter P Colosimo, DDS
• Alisa Renee Conroy, PHARMD
• Kevan M Creighton, ATC
• Crux Chiropractic, LLC
• Crystalkinetics, LLC

• General Practice Dentistry in Shorewood, WI
• Providers in Shorewood, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.