Neighborhood Smiles of West Salem

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEIGHBORHOOD SMILES OF WEST SALEM

Practice address

1401 Waterloo Ave.
West Salem, WI 54669-9270

Phone

(608) 768-0909

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Vicki McManus

Title

Owner

Phone

(360) 588-4353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1033480306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WATERLOO AVE.",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699270",
            "telephone_number": "608-786-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WATERLOO AVE.",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699270",
            "telephone_number": "608-768-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD SMILES OF WEST SALEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-588-4353"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Respiratory Care Inc.
• Jade Altman Mikshowsky, DNP, APRN
• Vicki S Miller
• Mississippi Valley Health Services Commission
• Mulder Health Care Facility, Inc
• Neighborhood Smiles of West Salem, LLC
• O2 Life LLC
• Orion West Salem LLC
• Alexandra Overturf, RN
• Paula Ann Parker

• General Practice Dentistry in West Salem, WI
• Providers in West Salem, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.