Individual provider Active NPI

N. Gene Pittman, D.D.S.

  • General Practice Dentistry
  • Menomonee Falls, WI
National Provider Identifier
1902937527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001886 Issued in WI
Practice address
N88W17001 Main St
Menomonee Falls, WI 53051-2828
Phone
(262) 251-6070
Fax
(262) 250-9000
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5001886 WI Primary

Addresses

Primary practice location

N88W17001 Main St
Menomonee Falls, WI 53051-2828

Mailing address

N88W17001 Main St
Menomonee Falls, WI 53051-2828
Phone (262) 251-6070

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
I20150508001482 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204155419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001886WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Falls Dental Group LLC General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902937527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N88W17001 MAIN ST",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512828",
            "telephone_number": "262-251-6070",
            "fax_number": "262-250-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N88W17001 MAIN ST",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512828",
            "telephone_number": "262-251-6070",
            "fax_number": "262-250-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "N.",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.