MDC Appleton S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MDC APPLETON S

Practice address

1707 S Oneida St
Appleton, WI 54915-1302

Phone

(920) 734-2392

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Mauthe III, D.D.S.

Title

Owner

Phone

(920) 948-6407

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1083056600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMELOT DR",
            "address_2": "SUITE 3",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358048",
            "telephone_number": "920-948-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151302",
            "telephone_number": "920-734-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC APPLETON S",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "MAUTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-948-6407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey McNamee
• Todd L McNiesh, MPAS, PA-C
• Gail Mary McNutt, MD
• Hope M McPeake, APNP
• Matthew McShane, MD
• Medova Mobility LLC
• Brenton M Meier, M.D.
• Yen Sun Meier
• Morgan Leigh Meiners, CSAC
• Megan Meives

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.