Active NPI
Andrew Schuelke
- Dentist
- Mequon, WI
National Provider Identifier
1992244479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001299-15
- Practice address
- 11501 N Port Washington Rd
Mequon, WI 53092-3465 - Phone
- (262) 241-8880
- Fax
- (262) 241-5250
- NPI assigned
- Feb 17, 2017
- Sex
- Male
- 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 | 1001299-15 | WI | Primary |
Addresses
Primary practice location
11501 N Port Washington Rd
Mequon, WI 53092-3465
Mailing address
11501 N Port Washington Rd
Mequon, WI 53092-3465
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 |
|---|---|---|---|
| 1001299-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Towne Dental Associated Belgium Family Dental SC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Mequon, WI
- NPI 1356489603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1992244479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923465",
"telephone_number": "262-241-8880",
"fax_number": "262-241-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUELKE",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001299-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.