Individual provider Active NPI

James R Muenzenberger, DDS

  • General Practice Dentistry
  • Hartland, WI
National Provider Identifier
1952334617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3614 Issued in WI
Practice address
139 E Capitol Dr
Hartland, WI 53029-2100
Phone
(262) 367-2750
Fax
(262) 367-6570
NPI assigned
Jul 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 3614 WI Primary

Addresses

Primary practice location

139 E Capitol Dr
Hartland, WI 53029-2100

Mailing address

139 E Capitol Dr
Hartland, WI 53029-2100
Phone (262) 367-2750

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313001642 WI Order and Referring Only - Other (Non-Physician) 6507182375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3614WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952334617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E CAPITOL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292100",
            "telephone_number": "262-367-2750",
            "fax_number": "262-367-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E CAPITOL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292100",
            "telephone_number": "262-367-2750",
            "fax_number": "262-367-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENZENBERGER",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

Verify at the official NPI Registry.