NPIMap

Organization Active NPI

Oak Creek Dental Care LLC

  • Dental Clinic/Center
  • Oak Creek, WI
National Provider Identifier
1851784599
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2481-15 Issued in WI
Legal business name
OAK CREEK DENTAL CARE LLC
Practice address
132 E Drexel Ave
Oak Creek, WI 53154-2123
Phone
(414) 762-9010
Fax
(414) 570-5492
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Daniel Richard Koester, DDSNPI 1942223805
Title
Owner/Manager
Phone
(414) 762-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2481-15 WI Primary

Addresses

Primary practice location

132 E Drexel Ave
Oak Creek, WI 53154-2123

Mailing address

132 E Drexel Ave
Oak Creek, WI 53154-2123
Phone (414) 762-9010

National Provider Directory

National Provider Directory

Locations

132 E Drexel Ave
Oak Creek, WI 53154
Phone (414) 762-9010

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1851784599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E DREXEL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542123",
            "telephone_number": "414-762-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E DREXEL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542123",
            "telephone_number": "414-762-9010",
            "fax_number": "414-570-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "KOESTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "414-762-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "2481-15",
            "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 Mar 5, 2015; 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.