Organization Active NPI

Mineral Point Family Dentistry, LLC

  • General Practice Dentistry
  • Mineral Point, WI
National Provider Identifier
1073687232
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jul 10, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.