Brian Specht, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

1001097-15 Issued in WI

Practice address

W178N9201 Water Tower PL
Menomonee Falls, WI 53051-8029

Phone

(262) 251-8704

NPI assigned

May 27, 2015

Last updated

Mar 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1912386632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W178N9201 WATER TOWER PL",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518029",
            "telephone_number": "262-251-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W178N9201 WATER TOWER PL",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518029",
            "telephone_number": "262-251-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 S Water St",
            "address_purpose": "LOCATION",
            "city": "Lomira",
            "state": "WI",
            "postal_code": "530489349",
            "country_code": "US",
            "telephone_number": "920-269-4453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5808 Broad St",
            "address_purpose": "LOCATION",
            "city": "Greendale",
            "state": "WI",
            "postal_code": "531292404",
            "country_code": "US",
            "telephone_number": "414-421-2303",
            "fax_number": "414-421-2576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPECHT",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001097-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.