NPIMap

Organization Active NPI

Abcom Family Dental Care

  • Dental Clinic/Center
  • Madison, WI
National Provider Identifier
1114210481
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5001006015 Issued in WI
Legal business name
ABCOM FAMILY DENTAL CARE
Practice address
5402 Mineral Point Rd
Madison, WI 53705-4659
Phone
(608) 231-2863
Fax
(608) 231-2974
NPI assigned
May 19, 2011
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Robert C Bruckner, DDSNPI 1407967698
Title
Owner/Dentist
Phone
(608) 231-2863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5001006015 WI Primary

Addresses

Primary practice location

5402 Mineral Point Rd
Madison, WI 53705-4659

Mailing address

5402 Mineral Point Rd
Madison, WI 53705-4659
Phone (608) 231-2863

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1114210481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054659",
            "telephone_number": "608-231-2863",
            "fax_number": "608-231-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054659",
            "telephone_number": "608-231-2863",
            "fax_number": "608-231-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCOM FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BRUCKNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "608-231-2863",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5001006015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.