NPIMap

Organization Active NPI

Bubon & Associates, Orthodontics, SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Milwaukee, WI
National Provider Identifier
1780062349
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4015-15 Issued in WI
Legal business name
BUBON & ASSOCIATES, ORTHODONTICS, SC
Practice address
3814 S Howell Ave
Milwaukee, WI 53207-3841
Phone
(262) 522-7447
Fax
(262) 522-7448
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Dr. Michael S Bubon, DDS
Title
Owner
Phone
(262) 522-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4015-15 WI Primary

Addresses

Primary practice location

3814 S Howell Ave
Milwaukee, WI 53207-3841

Mailing address

N4W21680 Bluemound Rd
Waukesha, WI 53186-2943
Phone (262) 522-7447

National Provider Directory

National Provider Directory
Tax ID family
1Bubon Associates Orthodontics SC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1780062349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4W21680 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862943",
            "telephone_number": "262-522-7447",
            "fax_number": "262-522-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073841",
            "telephone_number": "262-522-7447",
            "fax_number": "262-522-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBON & ASSOCIATES, ORTHODONTICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "BUBON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-522-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "4015-15",
            "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 May 14, 2015; 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.