Organization Active NPI

Rasmussen Dental LLC

  • Dentist
  • Minocqua, WI
National Provider Identifier
1205360930
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001076-15 Issued in WI
Legal business name
RASMUSSEN DENTAL LLC
Practice address
9792 Hwy 70
Minocqua, WI 54548-8747
Phone
(715) 358-9994
Fax
(715) 358-9997
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. Melanie Rasmussen, D.D.S.
Title
Owner
Phone
(715) 358-9994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1001076-15 WI Primary

Addresses

Primary practice location

9792 Hwy 70
Minocqua, WI 54548-8747

Mailing address

9792 Hwy 70
Minocqua, WI 54548-8747
Phone (715) 358-9994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1205360930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9792 HWY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488747",
            "telephone_number": "715-358-9994",
            "fax_number": "715-358-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9792 HWY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488747",
            "telephone_number": "715-358-9994",
            "fax_number": "715-358-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASMUSSEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-358-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001076-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.