Organization Active NPI

Falls Dental, S.C.

  • General Practice Dentistry
  • Sheboygan Falls, WI
National Provider Identifier
1083994834
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FALLS DENTAL, S.C.
Practice address
200 Monroe St
Sheboygan Falls, WI 53085-1428
Phone
(920) 467-4646
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Sandra Piefer-Tomczak
Title
Owner/Dentist
Phone
(920) 467-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 Monroe St
Sheboygan Falls, WI 53085-1428

Mailing address

200 Monroe St
Sheboygan Falls, WI 53085-1428

National Provider Directory

National Provider Directory

Locations

200 Monroe St
Sheboygan Falls, WI 53085
Phone (920) 467-4646

Practitioners & affiliated clinicians

Practitioners 1

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1083994834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MONROE ST",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MONROE ST",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851428",
            "telephone_number": "920-467-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS DENTAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "PIEFER-TOMCZAK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "920-467-4646"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.