Individual provider Active NPI

William George Toburen, D.D.S.

  • General Practice Dentistry
  • Whitefish Bay, WI
National Provider Identifier
1972532471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001789-015 Issued in WI
Practice address
316 E Silver Spring Dr
Suite 243
Whitefish Bay, WI 53217-5274
Phone
(414) 332-6010
NPI assigned
Jun 30, 2006
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 5001789-015 WI Primary

Addresses

Primary practice location

316 E Silver Spring Dr
Suite 243
Whitefish Bay, WI 53217-5274

Mailing address

316 E Silver Spring Dr
Suite 243
Whitefish Bay, WI 53217-5274
Phone (414) 332-6010

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
I20160215002118 WI Order and Referring Only - DentistPractitioner - Dentist 9931403789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001789-015WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972532471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E SILVER SPRING DR",
            "address_2": "SUITE 243",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175274",
            "telephone_number": "414-332-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E SILVER SPRING DR",
            "address_2": "SUITE 243",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175274",
            "telephone_number": "414-332-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBUREN",
        "first_name": "WILLIAM",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001789-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

Verify at the official NPI Registry.