Active NPI
Mineral Point Family Dentistry, LLC
- General Practice Dentistry
- Mineral Point, WI
National Provider Identifier
1073687232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MINERAL POINT FAMILY DENTISTRY, LLC
- Practice address
- 1279 Business Park Rd
Mineral Point, WI 53565-9295 - Phone
- (608) 987-3662
- Fax
- (608) 987-3859
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Genie Kuble
- Title
- Contact Officer
- Phone
- (920) 450-0157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1279 Business Park Rd
Mineral Point, WI 53565-9295
Mailing address
1279 Business Park Rd
Mineral Point, WI 53565-9295
Phone (608) 987-3662
National Provider Directory
National Provider DirectoryLocations
1279 Business Park Rd
Mineral Point, WI 53565
Phone (608) 987-3662
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mineral Point, WI
- NPI 1346576188
-
- General Practice Dentistry
- Mineral Point, WI
- NPI 1679647747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341878400000",
"number": "1073687232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 BUSINESS PARK RD",
"city": "MINERAL POINT",
"state": "WI",
"postal_code": "535659295",
"telephone_number": "608-987-3662",
"fax_number": "608-987-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 BUSINESS PARK RD",
"city": "MINERAL POINT",
"state": "WI",
"postal_code": "535659295",
"telephone_number": "608-987-3662",
"fax_number": "608-987-3859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINERAL POINT FAMILY DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2012-07-10",
"status": "A",
"authorized_official_last_name": "KUBLE",
"authorized_official_first_name": "GENIE",
"authorized_official_title_or_position": "CONTACT OFFICER",
"authorized_official_telephone_number": "920-450-0157"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.