Organization Active NPI

Wildflower Kids Dentistry PLLC

  • Dental Clinic/Center
  • Dubuque, IA
National Provider Identifier
1184492027
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILDFLOWER KIDS DENTISTRY PLLC
Practice address
3455 Stoneman Rd Ste 2B
Dubuque, IA 52002-5269
Phone
(563) 357-4005
NPI assigned
Dec 19, 2023
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Lauren Fangman Schau, DDSNPI 1639532286
Title
Owner/Dentist
Phone
(712) 830-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3455 Stoneman Rd Ste 2B
Dubuque, IA 52002-5269

Mailing address

3455 Stoneman Rd Ste 2B
Dubuque, IA 52002-5269
Phone (563) 582-1478

National Provider Directory

National Provider Directory

Locations

3455 Stoneman Rd
Ste 2B
Dubuque, IA 52002
Phone (563) 357-4005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1184492027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STONEMAN RD STE 2B",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025269",
            "telephone_number": "563-582-1478",
            "fax_number": "563-582-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 STONEMAN RD STE 2B",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025269",
            "telephone_number": "563-357-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER KIDS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SCHAU",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "FANGMAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "712-830-5824",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.