NPIMap

Organization Active NPI

Terrence K Frantal DDS SC

  • Dentist
  • Kenosha, WI
National Provider Identifier
1083821169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5001388-015 Issued in WI
Legal business name
TERRENCE K FRANTAL DDS SC
Practice address
7601 Pershing Blvd
Kenosha, WI 53142-4321
Phone
(262) 694-1100
Fax
(262) 694-1103
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia Skinner
Title
Office Manager
Phone
(262) 694-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5001388-015 WI Primary

Addresses

Primary practice location

7601 Pershing Blvd
Kenosha, WI 53142-4321

Mailing address

7601 Pershing Blvd
Kenosha, WI 53142-4321
Phone (262) 694-1100

Other names 1

  • Frantal Dental Care Other name

National Provider Directory

National Provider Directory

Locations

7601 Pershing Blvd
Kenosha, WI 53142
Phone (262) 694-1100

Practitioners & affiliated clinicians

Practitioners 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083821169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 PERSHING BLVD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424321",
            "telephone_number": "262-694-1100",
            "fax_number": "262-694-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PERSHING BLVD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424321",
            "telephone_number": "262-694-1100",
            "fax_number": "262-694-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRENCE K FRANTAL DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-694-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001388-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frantal Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • 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.