Individual provider Active NPI

Margaret Bolek, DDS

  • Dentist
  • Oak Creek, WI
National Provider Identifier
1821259227
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4343 Issued in WI
Practice address
2603 W Rawson Ave
Suite 123
Oak Creek, WI 53154-8422
Phone
(414) 761-9902
Fax
(414) 761-9904
NPI assigned
Jun 19, 2008
Last updated
May 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4343 WI Primary

Addresses

Primary practice location

2603 W Rawson Ave
Suite 123
Oak Creek, WI 53154-8422

Mailing address

2603 W Rawson Ave
Suite 123
Oak Creek, WI 53154-8422
Phone (414) 761-9902

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1821259227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W RAWSON AVE",
            "address_2": "SUITE 123",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548422",
            "telephone_number": "414-761-9902",
            "fax_number": "414-761-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W RAWSON AVE",
            "address_2": "SUITE 123",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548422",
            "telephone_number": "414-761-9902",
            "fax_number": "414-761-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEK",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.