Organization Active NPI

Oakbrook Dental, S.C.

  • Dentist
  • West Bend, WI
National Provider Identifier
1144618125
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OAKBROOK DENTAL, S.C.
Doing business as
Oakbrook Dental S.C.
Practice address
1201 Oak St Ste P
West Bend, WI 53095-3800
Phone
(262) 335-0822
Fax
(262) 335-0814
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Arthur R. Simonsen, D.D.S.NPI 1740353390
Title
D.D.S.
Phone
(262) 389-0300

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

1201 Oak St Ste P
West Bend, WI 53095-3800

Mailing address

1201 Oak St Ste P
West Bend, WI 53095-3800
Phone (262) 335-0822

Other names 1

  • Oakbrook Dental S.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oakbrook Dental Group 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.

Locations

1201 Oak St
Ste P
West Bend, WI 53095
Phone (262) 335-0822

Practitioners & affiliated clinicians

Practitioners 1

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": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1144618125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 OAK ST STE P",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953800",
            "telephone_number": "262-335-0822",
            "fax_number": "262-335-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK ST STE P",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953800",
            "telephone_number": "262-335-0822",
            "fax_number": "262-335-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBROOK DENTAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "262-389-0300",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakbrook Dental S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.