Individual provider Active NPI

Emma Kathryn Dionise, DMD

  • Pediatric Dentistry
  • Miwaukee, WI
National Provider Identifier
1902491582
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11728 Issued in NC
Practice address
8920 West Connell Court
Miwaukee, WI 53226
Phone
(414) 266-2040
NPI assigned
Mar 4, 2021
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11728 NC Primary
Pediatric Dentistry 1223P0221X 24257 FL

Addresses

Primary practice location

8920 West Connell Court
Miwaukee, WI 53226

Mailing address

3901 N Elm St
Greensboro, NC 27455-2594
Phone (336) 286-0200

Other practice location 1

3901 N Elm St
Greensboro, NC 27455-2594
Phone (336) 286-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edomingoes@chw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24257FLMDMental Health Counselor
11728NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Ignelzi Jr DDS PHD PA Pediatric Dentistry PastSince Feb 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1902491582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552594",
            "telephone_number": "336-286-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WEST CONNELL COURT",
            "city": "MIWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-266-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274552594",
            "country_code": "US",
            "telephone_number": "336-286-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIONISE",
        "first_name": "EMMA",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11728",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "24257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edomingoes@chw.org",
            "affiliation": "N",
            "endpointDescription": "secure hospital email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8920 West Connell Court",
            "city": "Miwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.