Eric Biederwolf, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7262-15 Issued in WI

Practice address

18900 W Bluemound Rd
Suite 218
Brookfield, WI 53045-6092

Phone

(262) 754-2727

NPI assigned

May 27, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Galleria West Dental S.C.

  • General Practice Dentistry
  • Brookfield, WI
  • NPI 1386906410
  NPD (past) Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1760894729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18900 W BLUEMOUND RD",
            "address_2": "SUITE 218",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456092",
            "telephone_number": "262-754-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 W BLUEMOUND RD",
            "address_2": "SUITE 218",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456092",
            "telephone_number": "262-754-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEDERWOLF",
        "first_name": "ERIC",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7262-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymberli Betzhold, BSN, RN, NCSN
• Berath Bews, RN
• Haley Beyer
• Juan T Biagtan, MD
• Brittany Bice-Urbach, PH.D.
• Stephen Bielke, MD
• Jennifer Christine Bigelow, PT
• Britt E Bilgrien, NP
• Binninger Dentistry, LLC
• Shawn William Birkholz, PTA

• Dentist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.