D2 Dental of Wisconsin, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

D2 DENTAL OF WISCONSIN, S.C.

Practice address

6012 Washington Ave
Mount Pleasant, WI 53406-4038

Phone

(262) 583-0022

NPI assigned

Feb 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Boris Labinov

Title

Agent

Phone

(312) 404-3975

Specialties & licenses 1

Addresses

Tax ID family

D2 Dental of Wisconsin SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• D2 Dental of Wisconsin, S.C.

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1245742733
  NPD tax ID

Locations

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1124528914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 WASHINGTON AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064038",
            "telephone_number": "262-583-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D2 DENTAL OF WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-18",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "LABINOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "312-404-3975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ruth Crowder, MD
• Lori Beth Cruz
• Amy Curruchich, R.N., C.R.N.A.
• Matthew M Curtis
• Ashley A Cyr, P.A.-C
• Jenna Dahl, PT, DPT
• Daniel Ramirez DMD PLLC
• Jonathan Richard Daniels, MD
• Nicholas A Darrow, PHARMD
• Sara Darvishiabyaneh

• General Practice Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.