Individual provider Active NPI

Robert Earl Limke, DDS

  • General Practice Dentistry
  • Sun Prairie, WI
National Provider Identifier
1730108184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3854 Issued in WI
Practice address
601 N Thompson Rd
Sun Prairie, WI 53590-4014
Phone
(608) 837-7394
Fax
(608) 825-3324
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3854 WI Primary

Addresses

Primary practice location

601 N Thompson Rd
Sun Prairie, WI 53590-4014

Mailing address

601 N Thompson Rd
Sun Prairie, WI 53590-4014
Phone (608) 837-7394

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151005000042 WI Order and Referring Only - DentistPractitioner - Dentist 0648586800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3854WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Parkviewdental Associates General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730108184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N THOMPSON RD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904014",
            "telephone_number": "608-837-7394",
            "fax_number": "608-825-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N THOMPSON RD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904014",
            "telephone_number": "608-837-7394",
            "fax_number": "608-825-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMKE",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.