NPIMap

Organization Active NPI

Monroe Street Family Dental, LLC

  • Dental Clinic/Center
  • Madison, WI
National Provider Identifier
1184959405
Registry record updated Oct 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5964-015 Issued in WI
Legal business name
MONROE STREET FAMILY DENTAL, LLC
Practice address
2702 Monroe St
Madison, WI 53711-1888
Phone
(608) 204-0222
Fax
(608) 240-0224
NPI assigned
Oct 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2009

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

Authorized official

Name
Benjamin Joseph Farrow, D.D.SNPI 1194854521
Title
Member
Phone
(608) 204-0222

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 5964-015 WI Primary

Addresses

Primary practice location

2702 Monroe St
Madison, WI 53711-1888

Mailing address

2702 Monroe St
Madison, WI 53711-1888
Phone (608) 204-0222

National Provider Directory

National Provider Directory

Locations

2702 Monroe St
Madison, WI 53711
Phone (608) 231-3370

Practitioners & affiliated clinicians

Practitioners 1

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": "1254614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1184959405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111888",
            "telephone_number": "608-204-0222",
            "fax_number": "608-240-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111888",
            "telephone_number": "608-204-0222",
            "fax_number": "608-240-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE STREET FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-04",
        "last_updated": "2009-10-04",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-204-0222",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5964-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2009; 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.