Active NPI
Howe Dental Room
- General Practice Dentistry
- Green Bay, WI
National Provider Identifier
1073794582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2268
- Legal business name
- HOWE DENTAL ROOM
- Practice address
- 526 S Monroe Ave
Green Bay, WI 54301-4018 - Phone
- (920) 448-7340
- NPI assigned
- Nov 27, 2007
- 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
- Carrie Stempski, RDH
- Title
- Director
- Phone
- (920) 448-7340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2268 | WI | Primary |
Addresses
Primary practice location
526 S Monroe Ave
Green Bay, WI 54301-4018
Mailing address
526 S Monroe Ave
Green Bay, WI 54301-4018
Phone (920) 448-7340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38396400 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Howe Community Resource Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Green Bay, WI
- NPI 1891142030
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health Dentistry
- Green Bay, WI
- NPI 1770777195
-
- General Practice Dentistry
- Green Bay, WI
- NPI 1710191085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1073794582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 S MONROE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014018",
"telephone_number": "920-448-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 S MONROE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014018",
"telephone_number": "920-448-7340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWE DENTAL ROOM",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "STEMPSKI",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "920-448-7340",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "2268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38396400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.