Organization Active NPI

Steven M. Amato, D.D.S., M.S., S.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manitowoc, WI
National Provider Identifier
1689743619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0004608 Issued in WI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.