YOUR FAMILY DENTIST (NPI# 1629197769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629197769 |
| Entity Type | Organization |
| Organization Name | YOUR FAMILY DENTIST |
| Practice Address |
411 N Grand Ave Suite 103 Waukesha WI 53186-4961 |
| Practice Telephone | 2625135677 |
| Practice Fax Number | 2625130077 |
| Mailing Telephone | 2625135677 |
| Mailing Fax Number | 2625130077 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL S. LAFRATTA (PARTNER) |
| Authorized Official Telephone | 2625135677 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5001794-015 | WI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396995999 | Your Family Dentist | Dentist | 8441 W Lawrence Ave, Chicago, IL 60656-2953 | 2008-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUR FAMILY DENTIST | 10274 S 71st St, Papillion, NE 68133-2659 |
| Street Address |
411 N GRAND AVE SUITE 103 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225425226 | Waukesha Family Chiropractic, LLC | Chiropractor | 411 N Grand Ave, Waukesha, WI 53186-4961 | 2015-04-17 |
| 1114282829 | Your Family Dentist, LLC | Clinic/Center | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 | 2012-07-09 |
| 1366681108 | Katie Marie Sam | Chiropractor | 411 N Grand Ave, Waukesha, WI 53186-4961 | 2009-02-18 |
| 1669591780 | James Francis Murphy Sr. | Dentist | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 | 2007-03-28 |
| 1871612903 | Michael S. Lafratta | Dentist | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 | 2007-03-28 |
| 1235229287 | John Adam Hinz | Acupuncturist | 411 N Grand Ave, Waukesha, WI 53186-4961 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063634228 | Renner and Martin Dds Sc | Clinic/Center | 1111 Delafield St. #319, Waukesha, WI 53188-3407 | 2007-05-03 |
| 1801400338 | Tanty Family Dental | Clinic/Center | W249s3642 Center Rd, Waukesha, WI 53189-7364 | 2020-09-02 |
| 1144764978 | Summit Square Dental LLC | Clinic/Center | 3228 Turnberry Oak Dr, Waukesha, WI 53188-3969 | 2016-12-13 |
| 1659749778 | Hillcrest Family Dental LLC | Clinic/Center | 1751 E Main St, Waukesha, WI 53186-3940 | 2015-09-05 |
| 1316347826 | Smiles for Miles Family Dentistry, LLC | Clinic/Center | S22w22660 Broadway, Suite 2, Waukesha, WI 53186-8100 | 2014-09-03 |
| 1477952687 | Proven Dental LLC | Clinic/Center | 1700 Coral Dr, Waukesha, WI 53186-1483 | 2014-08-14 |
| 1417295163 | Stephanie Race D.d.s., S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-30 |
| 1841538139 | Sunset Dental Care, S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-22 |
| 1245578665 | Jeffrey O'brien, D.d.s., S.c. | Clinic/Center | W247s3114 Prairie Ave, Waukesha, WI 53189-7321 | 2013-01-18 |
| 1114282829 | Your Family Dentist, LLC | Clinic/Center | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 | 2012-07-09 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on YOUR FAMILY DENTIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.