Organization Active NPI

Tenor Family Dentistry, LLC

  • Dentist
  • Oshkosh, WI
National Provider Identifier
1184987489
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TENOR FAMILY DENTISTRY, LLC
Practice address
1720 Congress Ave
Oshkosh, WI 54901-7701
Phone
(920) 233-0400
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Rebecca L Bergene
Title
Chief Operating Officer
Phone
(920) 860-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1720 Congress Ave
Oshkosh, WI 54901-7701

Mailing address

2600 N Richmond St
Appleton, WI 54911-1956
Phone (920) 860-9252

Other names 1

  • Advanced Care Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2600 N Richmond St
Appleton, WI 54911
Phone (920) 730-0400

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1184987489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111956",
            "telephone_number": "920-860-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CONGRESS AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549017701",
            "telephone_number": "920-233-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENOR FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "BERGENE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "920-860-9252"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Care Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.