M Dika Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

M DIKA DERMATOLOGY

Practice address

1050 Milwaukee Ave Ste 101
Burlington, WI 53105-1380

Phone

(414) 433-7692

Fax

(906) 208-6538

NPI assigned

Mar 28, 2021

Organization subpart

No

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

Authorized official

Name

Marthe Ngongang Dika, MDNPI 1043604424

Title

Authorized Official

Phone

(414) 433-7692

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00198

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marthe Ngongang Dika, M.D.

  • Dermatology Physician
  • Burlington, WI
  • NPI 1043604424
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1740867332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MILWAUKEE AVE STE 101",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051380",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MILWAUKEE AVE STE 101",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051380",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6123 Green Bay Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531422927",
            "country_code": "US",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W Silver Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532094218",
            "country_code": "US",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M DIKA DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "DIKA",
        "authorized_official_first_name": "MARTHE",
        "authorized_official_middle_name": "NGONGANG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "414-433-7692",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Gruezo Luell, NP
• Laura R Lumley, SLP
• Daniel John Lunetta, MD
• Shi Luo, DO
• Roger M Lyon, MD
• Abigail Mack, RN
• Heidi L Mackey, PT
• Barbara Madsen, RPH
• Joseph T Majewski, MD
• Michael J Majewski, MD

• Dermatology Physician in Burlington, WI
• Providers in Burlington, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.