Organization Active NPI

Lombardi Dental LLC

  • General Practice Dentistry
  • Green Bay, WI
National Provider Identifier
1164570891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5230 Issued in WI
Legal business name
LOMBARDI DENTAL LLC
Practice address
1400 Lombardi Ave
Suite 50
Green Bay, WI 54304-3922
Phone
(920) 498-8877
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Ronald Meier, DDS
Title
Dentist
Phone
(920) 498-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5230 WI Primary

Addresses

Primary practice location

1400 Lombardi Ave
Suite 50
Green Bay, WI 54304-3922

Mailing address

1400 Lombardi Ave
Suite 50
Green Bay, WI 54304-3922
Phone (920) 498-8877

Other names 1

  • Lombardi Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lombardi Dental LLC2 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.

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164570891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LOMBARDI AVE",
            "address_2": "SUITE 50",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043922",
            "telephone_number": "920-498-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOMBARDI AVE",
            "address_2": "SUITE 50",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043922",
            "telephone_number": "920-498-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMBARDI DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-498-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lombardi Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • 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.