Individual provider Active NPI

Michael Francis Cahlamer, D.D.S.

  • General Practice Dentistry
  • Brookfield, WI
National Provider Identifier
1851395644
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5002031 Issued in WI
Practice address
13500 W Capitol Dr
Suite 103
Brookfield, WI 53005-2444
Phone
(262) 790-9322
Fax
(262) 790-9323
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5002031 WI Primary

Addresses

Primary practice location

13500 W Capitol Dr
Suite 103
Brookfield, WI 53005-2444

Mailing address

13500 W Capitol Dr
Suite 103
Brookfield, WI 53005-2444
Phone (262) 790-9322

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406001096 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092033936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5002031WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1851395644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "262-790-9322",
            "fax_number": "262-790-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "262-790-9322",
            "fax_number": "262-790-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHLAMER",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5002031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.