David E McCann, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5477 Issued in WI

Practice address

450 Mill St
Suite 101
Fontana, WI 53125-1242

Phone

(262) 275-8080

Fax

(262) 275-5890

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fontana Family Dentistry

  • General Practice Dentistry
  • Fontana, WI
  • NPI 1811059041
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821151259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MILL ST",
            "address_2": "SUITE 101",
            "city": "FONTANA",
            "state": "WI",
            "postal_code": "531251242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MILL ST",
            "address_2": "SUITE 101",
            "city": "FONTANA",
            "state": "WI",
            "postal_code": "531251242",
            "telephone_number": "262-275-8080",
            "fax_number": "262-275-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Heuser, BSN RN
• JLB,Inc (Fontana Family Chiropractic)
• Joint School District 8 Fontana
• Karen P Littig, LPC
• Jeremy Steven Lois, D.D.S.
• Nicole McGuire
• Joyan Sanios, DTH
• Village of Fontana on Geneva Lake (Fontana Fire/Rescue)
• Wilson Chiropractic LLC

• General Practice Dentistry in Fontana, WI
• Providers in Fontana, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.