Michael D. O'Leary, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2089G Issued in WI

Practice address

440 Chestnut St
Suite 100
Wisconsin Rapids, WI 54494-4873

Phone

(715) 421-5255

Fax

(715) 421-5103

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831217645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST",
            "address_2": "SUITE 100",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944873",
            "telephone_number": "715-421-5255",
            "fax_number": "715-421-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST",
            "address_2": "SUITE 100",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944873",
            "telephone_number": "715-421-5255",
            "fax_number": "715-421-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "2089G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Journey - Wisconsin Rapids Day Treatm
• NSH Wisconsin Rapids LLC
• Soren A. Nywall, O.D.
• Robert K O'Connor, DDS
• Danny Thomas O'Day, CMT
• Oconnor Chiropractic Office, S.C.
• David Okeefe, M.S., I.S.P.
• Karlyn Oleson-Hall
• Ann L Oligney, PT
• Alyssa Gayle Olson

• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Orthodontics and Dentofacial Orthopedics 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.