Organization Active NPI

Uhd LLC

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1174974588
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UHD LLC
Doing business as
University Hills Dental
Practice address
3541 University Ave
Madison, WI 53705-2140
Phone
(608) 238-8228
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Dr. Liberty Boucher, DDS
Title
Sole Member
Phone
(608) 287-8648

Specialties & licenses 1

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

Addresses

Primary practice location

3541 University Ave
Madison, WI 53705-2140

Mailing address

1132 University Bay Dr
Madison, WI 53705-2252
Phone (608) 287-8648

Other names 1

  • University Hills Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1174974588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 UNIVERSITY BAY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052252",
            "telephone_number": "608-287-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052140",
            "telephone_number": "608-238-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "608-287-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.