Wisconsin Dental Health, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WISCONSIN DENTAL HEALTH, LLC

Practice address

390 S. Grand Ave
Suite#110
Sun Prairie, WI 53590

Phone

(608) 237-1920

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Vivienne Zhang, DDS

Title

Owner

Phone

(608) 237-1920

Specialties & licenses 1

Addresses

Other names 1

• Thousand Oaks Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryce Opps, DMD

  • Dentist
  • Sun Prairie, WI
  • NPI 1891304275
  NPD (past)
• Maisie Tolzmann

  • General Practice Dentistry
  • Beverly, MA
  • NPI 1346820644
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1154837433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S. GRAND AVE",
            "address_2": "SUITE#110",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S. GRAND AVE",
            "address_2": "SUITE#110",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-237-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN DENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-237-1920",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thousand Oaks Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wi and Beyond Transport LLC
• Miranda Jo Wiegel, PTA
• Thomas Leonard Wilhelms, DDS
• Wisconsin CVS Pharmacy LLC
• Wisconsin Dental Group, S.C.
• Wisconsin Dental Solutions LLC
• Nori Jane Woodruff
• Wright Vision Care, LLC
• Katie Wright, RN
• Richard Thomas Wright, O.D.

• Dentist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.