NPIMap

Organization Active NPI

Bay Dental Associates SC

  • Dentist
  • Ashland, WI
National Provider Identifier
1093714396
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BAY DENTAL ASSOCIATES SC
Practice address
819 Lake Shore Dr W
Ashland, WI 54806-1443
Phone
(715) 682-6675
Fax
(715) 682-6747
NPI assigned
Jul 19, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Barry Robert Stromberg, DDSNPI 1265439350
Title
Vice-President
Phone
(715) 682-6675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WI Primary

Addresses

Primary practice location

819 Lake Shore Dr W
Ashland, WI 54806-1443

Mailing address

819 Lake Shore Dr W
Ashland, WI 54806-1443
Phone (715) 682-6675

National Provider Directory

National Provider Directory

Locations

819 Lake Shore Dr W
Ashland, WI 54806
Phone (715) 682-6675

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093714396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 LAKE SHORE DR W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061443",
            "telephone_number": "715-682-6675",
            "fax_number": "715-682-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 LAKE SHORE DR W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061443",
            "telephone_number": "715-682-6675",
            "fax_number": "715-682-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DENTAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "715-682-6675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.