Organization Active NPI

Affordable Dentures - Madison, S.C.

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1144453119
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5782-015 Issued in WI
Legal business name
AFFORDABLE DENTURES - MADISON, S.C.
Practice address
6668 Odana Rd
Market Square Shopping Ctr.
Madison, WI 53719-1012
Phone
(608) 827-3077
NPI assigned
Aug 25, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Donald A. Kraut, DDSNPI 1306923305
Title
Practice Owner
Phone
(608) 827-3077

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
General Practice Dentistry 1223G0001X 5782-015 WI Primary

Addresses

Primary practice location

6668 Odana Rd
Market Square Shopping Ctr.
Madison, WI 53719-1012

Mailing address

6668 Odana Rd
Market Square Shopping Ctr.
Madison, WI 53719-1012
Phone (608) 827-3077

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": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1144453119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 ODANA RD",
            "address_2": "MARKET SQUARE SHOPPING CTR.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-827-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6668 ODANA RD",
            "address_2": "MARKET SQUARE SHOPPING CTR.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-827-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - MADISON, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "KRAUT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "608-827-3077",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5782-015",
            "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 Aug 25, 2009; 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.