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IDS
NPI 1689213787
Dentist - Endodontics in Kenosha, WI

Active since January 06, 2020
5021 WASHINGTON RD, KENOSHA, WI 53144(262) 654-6770 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ids NPPES

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

IDS (NPI 1689213787) is a healthcare organization registered as an endodontics in Kenosha, Wisconsin and active in the NPI registry since January 2020. The organization lists Vicky Gill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689213787
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameIDS
Location Address5021 WASHINGTON RDKenosha, WI 53144-4292
Mailing Address5021 Washington RdKenosha, WI 53144-4292
Phone(262) 654-6770
Organization SubpartNo
Authorized OfficialVicky GillOffice Manager · (847) 263-7668
Enumeration DateJanuary 6, 2020
✔ NPI 1689213787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
5021 WASHINGTON RD, Kenosha, WI 53144
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. DEAN TIBORIS DMD
Oral & Maxillofacial Surgery
5021 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 654-6770
DR. JOHN M LINDELL DDS
Dentist (Endodontics)
5021 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 632-5455
SOUTHPORT PERIODONTICS
Dentist (Periodontics)
5021 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 654-6770
SARAH NICOLE HYLINSKI FNP
Nurse Practitioner
5021 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 654-6770
WISNOVA LLC
Dentist (Endodontics)
5021 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 632-5455

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 Ids's NPI number?

The NPI number for Ids is 1689213787. It was assigned to this organization in the NPPES registry on January 6, 2020.

Where is Ids located?

Ids is located at 5021 Washington Rd, Kenosha, WI 53144. The listed phone number is (262) 654-6770.

What is Ids's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Ids was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.