NPIMap

Organization Active NPI

Daniel Butz M.D., S.C.

  • Plastic Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1750827556
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
66679-20 Issued in WI
Legal business name
DANIEL BUTZ M.D., S.C.
Practice address
2350 N Lake Dr Ste 304
Milwaukee, WI 53211
Phone
(414) 298-7212
NPI assigned
Jan 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Daniel Butz, MDNPI 1598070179
Title
President
Phone
(920) 819-6361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 66679-20 WI Primary

Addresses

Primary practice location

2350 N Lake Dr Ste 304
Milwaukee, WI 53211

Mailing address

1005 San Jose Dr
Elm Grove, WI 53122-2139
Phone (920) 819-6361

Other practice location 1

13800 W North Ave Ste 110
Brookfield, WI 53005-4977
Phone (262) 717-4000

National Provider Directory

National Provider Directory

Locations

13800 W North Ave
Ste 110
Brookfield, WI 53005
Phone (262) 717-4000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750827556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SAN JOSE DR",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222139",
            "telephone_number": "920-819-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N LAKE DR STE 304",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-298-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 W North Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530054977",
            "country_code": "US",
            "telephone_number": "262-717-4000",
            "fax_number": "262-641-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL BUTZ M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUTZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-819-6361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "66679-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.