Downtown Family Dental of Baraboo

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOWNTOWN FAMILY DENTAL OF BARABOO

Practice address

147 3Rd St
Baraboo, WI 53913-2423

Phone

(608) 356-3790

Fax

(608) 356-7863

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Toni M Holloway

Title

Office Manager

Phone

(608) 356-3790

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Amanda L Ganshert, D.D.S

  • General Practice Dentistry
  • Baraboo, WI
  • NPI 1326152158
  NPD (past)
• Robert D Konen, D.D.S, F.A.G.D

  • General Practice Dentistry
  • Baraboo, WI
  • NPI 1275647091
  NPD (past)
• Brianne Louise Schwarz, DDS

  • Dentist
  • Plain, WI
  • NPI 1992297550
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164536967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 3RD ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132423",
            "telephone_number": "608-356-3790",
            "fax_number": "608-356-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 3RD ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132423",
            "telephone_number": "608-356-3790",
            "fax_number": "608-356-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN FAMILY DENTAL OF BARABOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-356-3790"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Dingmann, MS
• Jane E Dischler, OTR
• Brenda B Dobyns, OTR/L
• Jennifer Dodd, M.A. CCC-SLP
• Denise Leslie Dodson, R.D., C.D., C.L.C.
• Gwendolynn Sue Doyle, PTA
• Rachael Ann Dozer, LCSW, CSAC
• Steven Drexler
• Susan M Driefke
• Nicole Drier, MS, LPC-IT, SAC

• All providers in Baraboo, WI
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.