Menasha Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MENASHA FAMILY DENTAL LLC

Doing business as

DePas Family Dental Care

Practice address

1431 Province Ter
Menasha, WI 54952-7003

Phone

(920) 968-1900

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Mitch Weiland

Title

Senior Accountant

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Other names 1

• DePas Family Dental Care Doing business as

Locations

Practitioners 3

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

• Sean M McLuen, DDS

  • General Practice Dentistry
  • Menasha, WI
  • NPI 1851612899
  NPD
• David Arthur De Pas, D.D.S.

  • General Practice Dentistry
  • Menasha, WI
  • NPI 1154541001
  NPD (past)
• Susan Kay De Pas, D.D.S.

  • General Practice Dentistry
  • Menasha, WI
  • NPI 1417177361
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1093323685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PROVINCE TER",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549527003",
            "telephone_number": "920-968-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PROVINCE TER",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549527003",
            "telephone_number": "920-968-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENASHA FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePas Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma McSweeney
• Medicaid
• Elysabeth Meehan, APSW
• Abigail Joy Meehl, MS, CCC-SLP
• Esther Melsha, APNP
• Menasha Joint School District
• Richard A Menet, MD
• Rebecca Menzel
• Carly Meyer
• Nicole Meyers

• Dentist in Menasha, WI
• Providers in Menasha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.