Organization Active NPI

Village Dental Group, S.C.

  • General Practice Dentistry
  • Menomonee Falls, WI
National Provider Identifier
1952362287
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VILLAGE DENTAL GROUP, S.C.
Practice address
N79W14756 Appleton Ave
Suite 100
Menomonee Falls, WI 53051-4376
Phone
(262) 251-2010
Fax
(262) 251-5690
NPI assigned
Mar 28, 2006
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Michael A. Szymanski, D.D.S.NPI 1790799872
Title
Secretary
Phone
(262) 251-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

N79W14756 Appleton Ave
Suite 100
Menomonee Falls, WI 53051-4376

Mailing address

N79W14756 Appleton Ave
Suite 100
Menomonee Falls, WI 53051-4376
Phone (262) 251-2010

National Provider Directory

National Provider Directory

Locations

N79W14756 Appleton Ave
Ste 100
Menomonee Falls, WI 53051
Phone (262) 251-2010

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1952362287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N79W14756 APPLETON AVE",
            "address_2": "SUITE 100",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514376",
            "telephone_number": "262-251-2010",
            "fax_number": "262-251-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N79W14756 APPLETON AVE",
            "address_2": "SUITE 100",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514376",
            "telephone_number": "262-251-2010",
            "fax_number": "262-251-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "262-251-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.