Active NPI
Vishakha Ravindra Choudhari
- Dentist
- Milwaukee, WI
National Provider Identifier
1801639661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001581-15
- Practice address
- 5341 W Fond Du Lac Ave
Milwaukee, WI 53216-1365 - Phone
- (414) 871-0827
- NPI assigned
- Jun 18, 2024
- Last updated
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001581-15 | WI | Primary |
Addresses
Primary practice location
5341 W Fond Du Lac Ave
Milwaukee, WI 53216-1365
Mailing address
2011 S Huron Pkwy Apt 7
Ann Arbor, MI 48104-4162
Phone (734) 680-3873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001581-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Mke Midtown LLC | Current | Accepting new patients |
Locations
5341 W Fond du Lac Ave
Milwaukee, WI 53216
Phone (414) 871-0827
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1801639661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 S HURON PKWY APT 7",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044162",
"telephone_number": "734-680-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 W FOND DU LAC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161365",
"telephone_number": "414-871-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHARI",
"first_name": "VISHAKHA RAVINDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001581-15",
"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 Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.