NPIMap

Organization Active NPI

Dental Health Care Center

  • Dentist
  • Chippewa Falls, WI
National Provider Identifier
1114369659
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL HEALTH CARE CENTER
Practice address
38 E Grand Ave
Chippewa Falls, WI 54729-2524
Phone
(715) 723-6800
NPI assigned
Jul 25, 2013
Organization subpart
Yes
Parent organization
DENTAL HEALTH CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
John TessendorfNPI 1891992483
Title
Owner
Phone
(715) 832-3100

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

38 E Grand Ave
Chippewa Falls, WI 54729-2524

Mailing address

38 E Grand Ave
Chippewa Falls, WI 54729-2524

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Care Center2 organizations share this tax ID, including this one
Part of
Dental Health Care Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

38 E Grand Ave
Chippewa Falls, WI 54729
Phone (715) 723-6800

Practitioners & affiliated clinicians

Practitioners 4

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": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1114369659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E GRAND AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E GRAND AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292524",
            "telephone_number": "715-723-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH CARE CENTER",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "TESSENDORF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-832-3100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.