Organization Active NPI

Howe Dental Room

  • General Practice Dentistry
  • Green Bay, WI
National Provider Identifier
1073794582
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2268 Issued in WI
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

Updated by the provider on Nov 27, 2007

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
38396400MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Howe Community Resource Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "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.

Verify at the official NPI Registry.