Paramount Pediatric Dentistry SC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6219 Issued in WI

Legal business name

PARAMOUNT PEDIATRIC DENTISTRY SC

Practice address

11035 W Forest Home Ave
Suite116
Hales Corners, WI 53130-2541

Phone

(414) 529-1110

Fax

(414) 529-1134

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christy L Frady, DMD

Title

Dentist

Phone

(414) 529-1110

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Waterford Childrens Dentistry SC

  • Pediatric Dentistry
  • Waterford, WI
  • NPI 1982385944
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Colosimo, DDS

  • Pediatric Dentistry
  • Hales Corners, WI
  • NPI 1467808592
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1831545763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE",
            "address_2": "SUITE116",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302541",
            "telephone_number": "414-529-1110",
            "fax_number": "414-529-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE",
            "address_2": "SUITE116",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302541",
            "telephone_number": "414-529-1110",
            "fax_number": "414-529-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT PEDIATRIC DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "FRADY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "414-529-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Options for Community Growth, Inc.
• Orthodontic Experts of Wisconsin, LLC
• Jodi Marie Osborne, D.C.
• Gabriela Palomino McComb, LCSW
• Anne Parady
• Peter Parthum, M.D., M.P.H.
• Patel Dental Wellness LLC
• Gerald Patterson
• Justin Peters, DDS
• Megan Pierson, PT, DPT

• Pediatric Dentistry in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.