Individual provider Active NPI

Silvia Bautista Morrobel

  • Dentist
  • West Allis, WI
National Provider Identifier
1811425408
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001569-15 Issued in WI
Practice address
1469 S 70TH St
West Allis, WI 53214-4814
Phone
(414) 383-5833
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001569-15 WI Primary

Addresses

Primary practice location

1469 S 70TH St
West Allis, WI 53214-4814

Mailing address

1469 S 70TH St
West Allis, WI 53214-4814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811000215 WI Order and Referring Only - DentistPractitioner - Dentist 8729359617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001569-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Dental SC PastSince Jul 25, 2019 Accepting new patients
Emergency Dental of Milwaukee, LLC PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1811425408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144814",
            "telephone_number": "414-383-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA MORROBEL",
        "first_name": "SILVIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001569-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.