Organization Active NPI

John L. Sadowski D.D.S., S.C.

  • Dental Clinic/Center
  • Manitowoc, WI
National Provider Identifier
1205094836
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0548G Issued in WI
Legal business name
JOHN L. SADOWSKI D.D.S., S.C.
Practice address
201 E Waldo Blvd
Manitowoc, WI 54220-2908
Phone
(920) 682-0115
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. John Leon Sadowski, DDSNPI 1144212101
Title
Dentist/Owner
Phone
(920) 682-0115

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 0548G WI Primary

Addresses

Primary practice location

201 E Waldo Blvd
Manitowoc, WI 54220-2908

Mailing address

201 E Waldo Blvd
Manitowoc, WI 54220-2908
Phone (920) 682-0115

Other identifiers 2

IdentifierTypeStateIssuer
0584GOtherWISTATE LICENSE NUMBER
063681003OtherWIWDA NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205094836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E WALDO BLVD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202908",
            "telephone_number": "920-682-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WALDO BLVD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202908",
            "telephone_number": "920-682-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. SADOWSKI D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SADOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "920-682-0115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "0548G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0584G",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDA NUMBER",
            "identifier": "063681003",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.