NPIMap

Organization Active NPI

Embrace Wisconsin S.C.

Doing business as Engage Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Appleton, WI
National Provider Identifier
1144733510
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EMBRACE WISCONSIN S.C.
Doing business as
Engage Orthodontics
Practice address
2001 S Matthias St
Appleton, WI 54915-7229
Phone
(920) 739-5822
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Lynn Hietpas
Title
Administrative Assistant
Phone
(920) 739-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2001 S Matthias St
Appleton, WI 54915-7229

Mailing address

2001 S Matthias St
Appleton, WI 54915-7229

Other names 1

  • Engage Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2001 S Matthias St
Appleton, WI 54915
Phone (920) 739-5822

Practitioners & affiliated clinicians

Practitioners 2

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": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1144733510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MATTHIAS ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MATTHIAS ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157229",
            "telephone_number": "920-739-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE WISCONSIN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "HIETPAS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "920-739-5822"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engage Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.