Chad Schulz DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CHAD SCHULZ DDS LLC

Doing business as

Aspen Dental

Practice address

4113 Rib Mountain Dr
Wausau, WI 54401-0647

Phone

(715) 359-6060

Fax

(715) 359-6941

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer La Duc

Title

Provider Relations

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

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.

• Sirisha Gogineni, DDS

  • General Practice Dentistry
  • Mahomet, IL
  • NPI 1194009142
  NPD (past)

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1124564042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 RIB MOUNTAIN DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544010647",
            "telephone_number": "715-359-6060",
            "fax_number": "715-359-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD SCHULZ DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "LA DUC",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Wisconsin Speech Therapy, LLC
• Anna-Maria Cerilli, AGNP-C
• Jason J Chan, MD
• Yinglai Chang
• Dustin Chapman
• Charis Counseling, LLC
• Nathan Jon Charles, M.D./PH.D.

• Dentist in Wausau, WI
• Providers in Wausau, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.