NPIMap

Organization Active NPI

General Dentistry of Seymour Inc

  • General Practice Dentistry
  • Seymour, WI
National Provider Identifier
1073618849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
W2493 Issued in WI
Legal business name
GENERAL DENTISTRY OF SEYMOUR INC
Practice address
344 State Hwy 54
Ste 1
Seymour, WI 54165
Phone
(920) 833-2215
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald Joseph Hoff Jr., DDSNPI 1235234063
Title
Owner President
Phone
(920) 833-2215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X W2493 WI Primary

Addresses

Primary practice location

344 State Hwy 54
Ste 1
Seymour, WI 54165

Mailing address

344 State Highway 54
Ste 1
Seymour, WI 54165
Phone (920) 833-2215

Other identifiers 1

IdentifierTypeStateIssuer
33409400MedicaidWI

National Provider Directory

National Provider Directory

Locations

344 E State Highway 54
Ste 1
Seymour, WI 54165
Phone (920) 833-2215

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073618849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 STATE HIGHWAY 54",
            "address_2": "STE 1",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "54165",
            "telephone_number": "920-833-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 STATE HWY 54",
            "address_2": "STE 1",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "54165",
            "telephone_number": "920-833-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTISTRY OF SEYMOUR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "920-833-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "W2493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33409400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.