Active NPI
Steven M. Amato, D.D.S., M.S., S.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Manitowoc, WI
National Provider Identifier
1689743619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0004608
- Legal business name
- STEVEN M. AMATO, D.D.S., M.S., S.C.
- Practice address
- 17 E Waldo Blvd
Manitowoc, WI 54220-2905 - Phone
- (920) 684-7103
- Fax
- (920) 684-5570
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda L Ellerman
- Title
- Administrative Assistant
- Phone
- (920) 684-7103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0004608 | WI | Primary |
Addresses
Primary practice location
17 E Waldo Blvd
Manitowoc, WI 54220-2905
Mailing address
17 E Waldo Blvd
Manitowoc, WI 54220-2905
Phone (920) 684-7103
National Provider Directory
National Provider DirectoryLocations
17 E Waldo Blvd
Manitowoc, WI 54220
Phone (920) 684-7103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Manitowoc, WI
- NPI 1760472559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689743619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 E WALDO BLVD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202905",
"telephone_number": "920-684-7103",
"fax_number": "920-684-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E WALDO BLVD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202905",
"telephone_number": "920-684-7103",
"fax_number": "920-684-5570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M. AMATO, D.D.S., M.S., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELLERMAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "920-684-7103",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "0004608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.