Baylakes Center for Complex Dentistry SC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

5001473015 Issued in WI

Legal business name

BAYLAKES CENTER FOR COMPLEX DENTISTRY SC

Practice address

138 Siegler St
Green Bay, WI 54303

Phone

(920) 499-9958

Fax

(920) 499-1492

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph William Lasnoski, DDS MSNPI 1346331741

Title

President Prosthodontist

Phone

(920) 499-9958

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph William Lasnoski, DDS MS

  • Prosthodontics
  • Green Bay, WI
  • NPI 1346331741

  Dentist

  NPD (past) Authorized official
• Matthew Hallas, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1669798864
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1083705495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SIEGLER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "920-499-9958",
            "fax_number": "920-499-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SIEGLER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "920-499-9958",
            "fax_number": "920-499-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLAKES CENTER FOR COMPLEX DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "LASNOSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT PROSTHODONTIST",
        "authorized_official_telephone_number": "920-499-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015553",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "5001473015",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901015553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baycare Clinic, LLP
• Baycare Clinic, LLP
• Baycare Clinic, LLP
• Alyssa Rose Baye, MS, MFT-IT
• Gerald K Bayer, M.D.
• Bayshore Counseling Network
• Taylor Beadles
• Maura T Beardsley, PA-C
• Courtney R Beaudette, APNP
• Rebecca Lorraine Beaumia, NP

• All providers in Green Bay, WI
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.