DR. SUZANNE CONLEY TACK DDS
NPI 1184880940
Dentist - General Practice in Thiensville, WI

Q: What is Suzanne Tack's NPI number?

The NPI number for Suzanne Tack is 1184880940. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Q: What is Suzanne Tack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Suzanne Tack was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2008PECOS Enrolled

108 E FREISTADT RD, THIENSVILLE, WI 53092(414) 687-0719 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Suzanne Conley Tack Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUZANNE CONLEY TACK DDS (NPI 1184880940) is an individual general practice provider in Thiensville, Wisconsin, licensed in Wisconsin (6252-015) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184880940

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUZANNE CONLEY TACKCredential: DDS

Location Address108 E FREISTADT RDThiensville, WI 53092

Mailing Address108 E Freistadt RdThiensville, WI 53092 · (414) 687-0719

Phone(414) 687-0719

Sole ProprietorNo

Enumeration DateJuly 31, 2008

Last NPPES UpdateAugust 31, 2022

NPPES CertifiedAugust 31, 2022

✔ NPI 1184880940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 6252-015

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

108 E FREISTADT RD, Thiensville, WI 53092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suzanne Conley Tack Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Tack's NPI number?

The NPI number for Suzanne Tack is 1184880940. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Suzanne Tack located?

Suzanne Tack practices at 108 E Freistadt Rd, Thiensville, WI 53092. The listed phone number is (414) 687-0719.

What is Suzanne Tack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Suzanne Tack enrolled in Medicare?

Yes. Suzanne Tack is registered in the Medicare PECOS enrollment system.

What insurance does Suzanne Tack accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian list Suzanne Tack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Tack was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.