DR. HENRY NISHAN AMBROOKIAN JR. D.D.S.
NPI 1295841203
Dentist - Oral and Maxillofacial Surgery in West Bend, WI

Active since August 22, 2006PECOS Enrolled
1201 OAK ST, WEST BEND, WI 53095(262) 334-7172(262) 334-7166 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry Nishan Ambrookian Jr. D.d.s. NPPES

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

DR. HENRY NISHAN AMBROOKIAN JR. D.D.S. (NPI 1295841203) is an individual oral and maxillofacial surgery provider in West Bend, Wisconsin, licensed in Wisconsin (5001837-015) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295841203
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. HENRY NISHAN AMBROOKIAN JR.Credential: D.D.S.
Location Address1201 OAK STWest Bend, WI 53095-3800
Mailing Address11405 N Carriage CtMequon, WI 53092-2145 · (262) 242-2350 · Fax (262) 238-1472
Fax(262) 334-7166
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1295841203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WI · 5001837-015
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1201 OAK ST, West Bend, WI 53095

Other Identifiers 2

Medicare UPINT61356
Medicare ID-Type Unspecified78566

Accepted 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. Henry Nishan Ambrookian Jr. D.d.s. 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 53095 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
1201 OAK ST, SUITE H
WEST BEND, WI 53095
Nurse Practitioner (Acute Care)
1201 OAK ST
WEST BEND, WI 53095
Durable Medical Equipment & Medical Supplies
1201 OAK ST
WEST BEND, WI 53095
Eyewear Supplier
1201 OAK ST
WEST BEND, WI 53095
Dentist (Orthodontics and Dentofacial Orthopedics)
1201 OAK ST, SUITE G
WEST BEND, WI 53095
Dentist
1201 OAK ST
WEST BEND, WI 53095
Contractor
1201 OAK ST, SUITE Q
WEST BEND, WI 53095

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 Henry Ambrookian's NPI number?

The NPI number for Henry Ambrookian is 1295841203. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Henry Ambrookian located?

Henry Ambrookian practices at 1201 Oak St, West Bend, WI 53095. The listed phone number is (262) 334-7172.

What is Henry Ambrookian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Henry Ambrookian enrolled in Medicare?

Yes. Henry Ambrookian is registered in the Medicare PECOS enrollment system.

What insurance does Henry Ambrookian accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Henry Ambrookian 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 Henry Ambrookian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.