Individual provider Active NPI

Claire Nate

  • Dentist
  • Green Bay, WI
National Provider Identifier
1114719937
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001832-15 Issued in WI
Practice address
424 S Monroe Ave
Green Bay, WI 54301-4054
Phone
(608) 432-3774
NPI assigned
May 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 6001832-15 WI Primary

Addresses

Primary practice location

424 S Monroe Ave
Green Bay, WI 54301-4054

Mailing address

1600 Michigan Ave
Wisconsin Dells, WI 53965-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6001832-15WIMDDentist

Interoperability endpoints

  • Direct secure messaging: cnate1073908@direct.emplifyhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1114719937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MICHIGAN AVE",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014054",
            "telephone_number": "608-432-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATE",
        "first_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001832-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.