North Appleton Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH APPLETON DENTISTRY, LLC

Practice address

3521 Commerce CT
Appleton, WI 54911-8579

Phone

(920) 734-7730

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Katzenmaier, RDH

Title

Owner

Phone

(920) 734-7730

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Richard Nelson, D.D.S.

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1255348637
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1194241216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5840 GERANIUM DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549155662",
            "telephone_number": "920-954-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 COMMERCE CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118579",
            "telephone_number": "920-734-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH APPLETON DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KATZENMAIER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-734-7730",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1255348637",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1023464344",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1144676990",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1578874426",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Dean Norland, DDS
• Norris Adarkwa Norman, M.D.
• Katie Normington, LCSW
• Brilane Norring, RN
• Mark Norris, MD
• North Shore Foot & Ankle Surgery Center, LLC
• North Shore Foot & Ankle, S.C.
• Northeast Wisconsin Foot and Ankle Assoc., S.C.
• Northeast Wisconsin Retina Associates SC
• Northeast Wisconsin Surgical Assistants, LLC

• Dental Clinic/Center in Appleton, WI
• Providers in Appleton, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.