WISCONSIN ORAL MEDICINE LLC
NPI 1417740465
Dentist - Oral and Maxillofacial Surgery in Greenfield, WI
About Wisconsin Oral Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISCONSIN ORAL MEDICINE LLC (NPI 1417740465) is a healthcare organization registered as an oral and maxillofacial surgery in Greenfield, Wisconsin and active in the NPI registry since May 2025. The organization lists Bhavik Desai, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wisconsin Oral Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wisconsin Oral Medicine LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wisconsin Oral Medicine LLC's NPI number?
The NPI number for Wisconsin Oral Medicine LLC is 1417740465. It was assigned to this organization in the NPPES registry on May 23, 2025.
Where is Wisconsin Oral Medicine LLC located?
Wisconsin Oral Medicine LLC is located at 8405 W Forest Home Ave, Greenfield, WI 53228. The listed phone number is (443) 255-8743.
What is Wisconsin Oral Medicine LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Wisconsin Oral Medicine LLC enrolled in Medicare?
Yes. Wisconsin Oral Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wisconsin Oral Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Wisconsin Oral Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wisconsin Oral Medicine LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Wisconsin Oral Medicine Llc · NPI 1417740465
Oral and Maxillofacial Surgery organization in Greenfield, Wisconsin. Organization record, active in the CMS NPPES registry since May 23, 2025.
## Identity
- **NPI:** 1417740465 (Entity type: Organization)
- **Enumerated:** May 23, 2025
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Bhavik Desai, OWNER
## Practice location
- **Address:** 8405 W FOREST HOME AVE, Greenfield, WI 53228-3407
- **Phone:** (443) 255-8743
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417740465) · Data from the CMS NPPES public registry.