Wisconsin Rapids Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WISCONSIN RAPIDS FAMILY DENTAL LLC

Practice address

1310 River Run Dr
Wisconsin Rapids, WI 54494-5487

Phone

(715) 421-3030

NPI assigned

Nov 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitch Weiland

Title

Senior Accountant

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A. Klement, DDS

  • Dentist
  • Wisconsin Rapids, WI
  • NPI 1932212552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1013518364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 RIVER RUN DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945487",
            "telephone_number": "715-421-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 RIVER RUN DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945487",
            "telephone_number": "715-421-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN RAPIDS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Jo Wilson, MSW, CAPSW
• Diane Lynn Winkler
• Arlene F Winter, MS,CCC-SLP
• Wisconsin CVS Pharmacy LLC
• Wisconsin Rapids Care Center LLC
• Wisconsin Rapids Senior Living, Inc.
• Wisconsin River Orthopaedics, LTD.
• Christine R Witt, M.S., CCC-SLP
• WM R Christian DDS SC
• Linda S Wogahn, PA

• Dentist in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.