Laura Channing, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1223G0001X Issued in WI

Practice address

15910 W Company Lake Rd
Hayward, WI 54843-5320

Phone

(715) 934-2224

Fax

(715) 934-5740

NPI assigned

Jun 8, 2011

Last updated

Dec 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laura Schmitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1205120102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 W COMPANY LAKE RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435320",
            "telephone_number": "715-934-2224",
            "fax_number": "715-934-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 W COMPANY LAKE RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435320",
            "telephone_number": "715-934-2224",
            "fax_number": "715-934-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNING",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205120102",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SCHMITZ",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa M. Bratvold, NP
• Macey Bunkelman, RDH
• John W Burns, RPH
• Alicia D Carlson, M.S., LPC, NCC, CSAC
• Rachael L Chambers, DO
• Stacy Chapin, FDN-P
• Donnan Leigh Christensen, M.D.
• Katie Christensen
• Katherine Christians, MS, CCC-SLP
• Cheryl Marie Churchill I

• General Practice Dentistry in Hayward, WI
• Providers in Hayward, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.