Organization Active NPI

Healthnet of Rock County, Inc.

  • Dentist
  • Janesville, WI
National Provider Identifier
1205285699
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEALTHNET OF ROCK COUNTY, INC.
Practice address
113 S Franklin St
Janesville, WI 53548
Phone
(608) 756-4638
NPI assigned
Jun 7, 2016
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHNET OF ROCK COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Mr. Ian Hedges
Title
Executive Director
Phone
(608) 314-1921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Dentist 122300000X Primary

Addresses

Primary practice location

113 S Franklin St
Janesville, WI 53548

Mailing address

113 S Franklin St
Janesville, WI 53548-3812
Phone (608) 756-4638

Other practice location 1

1344 Creston Park Dr
Suite # 2
Janesville, WI 53545-1113
Phone (608) 314-1940

National Provider Directory

National Provider Directory
Tax ID family
Healthnet of Rock County Inc2 organizations share this tax ID, including this one
Part of
Healthnet of Rock County Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1344 Creston Park Dr
Ste 2
Janesville, WI 53545
Phone (608) 314-1940

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15975/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1205285699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S FRANKLIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483812",
            "telephone_number": "608-756-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S FRANKLIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53548",
            "telephone_number": "608-756-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 Creston Park Dr",
            "address_2": "Suite # 2",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535451113",
            "country_code": "US",
            "telephone_number": "608-314-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHNET OF ROCK COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHNET OF ROCK COUNTY, INC.",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-314-1921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.