Kim Tran-Wertz DDS Ms LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

4384-015 Issued in WI

Legal business name

KIM TRAN-WERTZ DDS MS LLC

Practice address

12720 W North Ave
Brookfield, WI 53005-4637

Phone

(262) 782-2300

Fax

(262) 782-2313

NPI assigned

Nov 24, 2010

Last updated

Nov 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Tran-Wertz, DDS MSNPI 1710094719

Title

Dentist

Phone

(262) 782-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kim Tran Wertz, DDS MS

  • Prosthodontics
  • Brookfield, WI
  • NPI 1710094719
  Authorized official Same address or phone

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1801198858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054637",
            "telephone_number": "262-782-2300",
            "fax_number": "262-782-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054637",
            "telephone_number": "262-782-2300",
            "fax_number": "262-782-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM TRAN-WERTZ DDS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "TRAN-WERTZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "262-782-2300",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "4384-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33770200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Physical Therapy LLC
• Samia Khan, MS. MFT, LPC
• Gaganjot Singh Khurana
• Zachary Ivan Kienol, DC
• Micaela Killinger, LPC
• Deborah L Kim, MD
• Summer J Kimble, PA-C
• Heather Lynn Kindschy, LCSW-BACS
• Abigail King
• Amanda King, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.