Third Coast Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THIRD COAST DENTAL LLC

Practice address

8531 W Lincoln Ave
West Allis, WI 53227-2542

Phone

(414) 327-2700

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Emmerich, DDSNPI 1154777233

Title

Owner/Dentist

Phone

(864) 359-0902

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Andrea Emmerich, D.D.S.

  • Dentist
  • Anderson, SC
  • NPI 1154777233
  NPD Authorized official
• Amanda May Brown

  • Dentist
  • Menomonee Falls, WI
  • NPI 1821730961
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1871118554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8531 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272542",
            "telephone_number": "414-327-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "EMMERICH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "864-359-0902",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@thirdcoastfamilydental.com",
            "affiliation": "N",
            "endpointDescription": "office secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8531 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Sleep Wellness Institute Inc
• Theresa Pardoe D.O.
• Ruth M Thielen, CCC SLP
• Angelina Marie Thieme-House
• Lisa S Thill, MSW, LCSW
• Third Wave Psychotherapy & Assessment, LLC
• Leah Thoma
• Lashawna Thomas
• Elizabeth C Thompson, MD
• Timothy J Thompson, MD

• Dental Clinic/Center in West Allis, WI
• Providers in West Allis, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.