DJ Kontra MD & Associates SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DJ KONTRA MD & ASSOCIATES SC

Practice address

5802 Washington Ave
Ste 102
Racine, WI 53406-4050

Phone

(262) 886-9100

Fax

(262) 886-9130

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Dennis J Kontra, MD

Title

President

Phone

(262) 886-9100

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1992794911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 WASHINGTON AVE",
            "address_2": "STE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064050",
            "telephone_number": "262-886-9100",
            "fax_number": "262-886-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WASHINGTON AVE",
            "address_2": "STE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064050",
            "telephone_number": "262-886-9100",
            "fax_number": "262-886-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ KONTRA MD & ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "KONTRA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-886-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32784900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CT1058",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Racine, WI
• Providers in Racine, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.