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ORAL SURGERY ASSOCIATES OF MILWAUKEE SC
NPI 1477647832
Dentist - Oral and Maxillofacial Surgery in Mequon, WI

Active since October 02, 2006
10535 N PORT WASHINGTON RD, SUITE 102, MEQUON, WI 53092(262) 241-0900(262) 241-0904 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oral Surgery Associates Of Milwaukee Sc NPPES

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

ORAL SURGERY ASSOCIATES OF MILWAUKEE SC (NPI 1477647832) is a healthcare organization registered as an oral and maxillofacial surgery in Mequon, Wisconsin and active in the NPI registry since October 2006. The organization lists Alan A Kimmel, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1477647832
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL SURGERY ASSOCIATES OF MILWAUKEE SC
Location Address10535 N PORT WASHINGTON RD, SUITE 102Mequon, WI 53092-5583
Mailing Address10535 N Port Washington Rd, Suite 102Mequon, WI 53092-5583 · (262) 241-0900 · Fax (262) 241-0904
Phone(262) 241-0900
Fax(262) 241-0904
Organization SubpartNo
Authorized OfficialAlan A KimmelOral & Maxillofacial Surgeon · (262) 241-0900
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1477647832 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 · 4130-015
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.
10535 N PORT WASHINGTON RD, Mequon, WI 53092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral Surgery Associates Of Milwaukee Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Oral Surgery Associates Of Milwaukee Sc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Alan Kimmel, DDS
Maxillofacial Surgery
NPI 1760576128
10535 N PORT WASHINGTON RD SUITE 102
Mequon, WI 53092
(262) 241-0900
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Kortebein, DDS
Oral Surgery
NPI 1336233790
10535 N PORT WASHINGTON RD SUITE 102
Mequon, WI 53092
(262) 241-0900
✔ PECOS0.1 mi
Peter Wagner, D.D.S.
Oral Surgery
NPI 1548356280
10535 N PORT WASHINGTON RD SUITE 102
Mequon, WI 53092
(262) 241-0900
✔ PECOS✔ Accepts Medicare0.1 mi
Brian Carr, DMD MD
Dentist
NPI 1093270217
7801 S HOWELL AVE STE 202
Oak Creek, WI 53154
(414) 764-2880
✔ PECOS21 mi

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 Oral Surgery Associates Of Milwaukee Sc's NPI number?

The NPI number for Oral Surgery Associates Of Milwaukee Sc is 1477647832. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Oral Surgery Associates Of Milwaukee Sc located?

Oral Surgery Associates Of Milwaukee Sc is located at 10535 N Port Washington Rd Suite 102, Mequon, WI 53092. The listed phone number is (262) 241-0900.

What is Oral Surgery Associates Of Milwaukee Sc's specialty?

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

Is Oral Surgery Associates Of Milwaukee Sc enrolled in Medicare?

Yes. Oral Surgery Associates Of Milwaukee Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral Surgery Associates Of Milwaukee Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Oral Surgery Associates Of Milwaukee Sc, in Dentist, Maxillofacial Surgery and Oral Surgery. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oral Surgery Associates Of Milwaukee Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Oral Surgery Associates Of Milwaukee Sc 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 Oral Surgery Associates Of Milwaukee Sc was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.