Bay View Dental Care, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001644 Issued in WI

Legal business name

BAY VIEW DENTAL CARE, LLP

Practice address

3380 S Kinnickinnic Ave
Milwaukee, WI 53207-3159

Phone

(414) 482-2090

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Persich, DDS

Title

Partner

Phone

(414) 482-2090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821173188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 S KINNICKINNIC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073159",
            "telephone_number": "414-482-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 S KINNICKINNIC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073159",
            "telephone_number": "414-482-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VIEW DENTAL CARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-482-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38364400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Marie Baxter, CSAC
• Katrina Marie Baxter, MSN, NP-C
• Ryan Joseph Baxter, M.D.
• Bay at St Ann Health and Rehabilitation Center LLC
• Bay View Dental Care, LLC
• Peter Joseph Baye, MD
• Elizabeth Ann Bayer, MSW
• Michelle L Bayer, M.D.
• Hanna Aberra Bayisa, MD
• Baylon Family Physicians, LTD.

• All providers in Milwaukee, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.