Individual provider Active NPI

Nicholas Valeri, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pleasant Prairie, WI
National Provider Identifier
1710327119
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7051-15 Issued in WI
Practice address
9020 76TH St Ste B
Pleasant Prairie, WI 53158-1976
Phone
(262) 577-5242
NPI assigned
Jun 28, 2013
Last updated
Nov 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7051-15 WI Primary

Addresses

Primary practice location

9020 76TH St Ste B
Pleasant Prairie, WI 53158-1976

Mailing address

1108 N Milwaukee St
#259
Milwaukee, WI 53202-3208
Phone (262) 496-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7051-15WIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Dentistry of Kenosha LLC Current Accepting new patients
Valeri Orthodontics, S.C. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1710327119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N MILWAUKEE ST",
            "address_2": "#259",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023208",
            "telephone_number": "262-496-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 76TH ST STE B",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581976",
            "telephone_number": "262-577-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "7051-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.