Active NPI
Allison Rose Delorme, D.D.S.
- Dentist
- Waterford, WI
National Provider Identifier
1932586724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001082
- Practice address
- 511 Aber Dr
Suite B
Waterford, WI 53185-4401 - Phone
- (262) 534-6514
- NPI assigned
- Apr 30, 2015
- Last updated
- Sep 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001082 | WI | Primary |
Addresses
Primary practice location
511 Aber Dr
Suite B
Waterford, WI 53185-4401
Mailing address
511 Aber Dr
Suite B
Waterford, WI 53185-4401
Phone (262) 534-6514
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1001082 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1932586724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 ABER DR",
"address_2": "SUITE B",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531854401",
"telephone_number": "262-534-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 ABER DR",
"address_2": "SUITE B",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531854401",
"telephone_number": "262-534-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELORME",
"first_name": "ALLISON",
"middle_name": "ROSE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.