Widcorp PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016005 Issued in MI

Legal business name

WIDCORP PC

Practice address

125 N Pansy Street
Ishpeming, MI 49849-3015

Phone

(906) 485-5575

Fax

(906) 485-1260

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Edward Frounfelter, DDS

Title

President

Phone

(906) 485-5575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073698445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N PANSY STREET",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493015",
            "telephone_number": "906-485-5575",
            "fax_number": "906-485-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PANSY STREET",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493015",
            "telephone_number": "906-485-5575",
            "fax_number": "906-485-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDCORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FROUNFELTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-485-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niksa Vlasic, M.D.
• Melissa Ann Wachter, RN
• Steven J Wallner, PHARMD
• Sydnie Wedig, DPT
• Angela D Wesselman
• John Wilkinson, MD
• Michael E Worden, CRNA
• Woven Path Art Therapy and Counseling LLC

• All providers in Ishpeming, MI
• General Practice Dentistry in Michigan

• 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.