Central Wisconsin Endodontic Specialists LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CENTRAL WISCONSIN ENDODONTIC SPECIALISTS LLC

Practice address

2606 Stewart Avenue
#102
Wausau, WI 54401

Phone

(715) 848-3982

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Mitch Weiland

Title

Senior Accountant

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Other names 1

• MPC Endodontics 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.

• Wenhui Sun, D.M.D.

  • General Practice Dentistry
  • Akron, OH
  • NPI 1437569456
  NPD
• Vincent E Bearjar, D.M.D.

  • General Practice Dentistry
  • Wausau, WI
  • NPI 1821040981
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1164031464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 STEWART AVENUE",
            "address_2": "#102",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 STEWART AVENUE",
            "address_2": "#102",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-848-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WISCONSIN ENDODONTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPC Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MPC Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya Ann Casar, LCSW
• Kathleen M Casmey, LMFT
• Catholic Charities of the Diocese of la Crosse, Inc.
• Center for Human Development, Inc.
• Central Wisconsin Anesthesiology
• Central Wisconsin Speech Therapy, LLC
• Anna-Maria Cerilli, AGNP-C
• Chad Schulz DDS LLC
• Jason J Chan, MD
• Dustin Chapman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.