Active NPI
Alice Zheng
- General Practice Dentistry
- Kenosha, WI
National Provider Identifier
1730934951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6001590
- Practice address
- 7117 Green Bay Rd
Kenosha, WI 53142-1450 - Phone
- (262) 942-7000
- NPI assigned
- Apr 22, 2024
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6001590 | WI | Primary |
Addresses
Primary practice location
7117 Green Bay Rd
Kenosha, WI 53142-1450
Mailing address
11711 W Burleigh St
Wauwatosa, WI 53222-3196
Phone (414) 771-2345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001590 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | General Practice | Current | Accepting new patients |
Locations
7117 Green Bay Rd
Kenosha, WI 53142
Phone (262) 942-7000
11711 W Burleigh St
Wauwatosa, WI 53222
Phone (414) 771-2345
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, 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": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1730934951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11711 W BURLEIGH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532223196",
"telephone_number": "414-771-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421450",
"telephone_number": "262-942-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHENG",
"first_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6001590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.