Organization Active NPI

Willow Street Dental, LLC

  • General Practice Dentistry
  • Chippewa Falls, WI
National Provider Identifier
1205715422
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLOW STREET DENTAL, LLC
Practice address
123 W Willow St
Chippewa Falls, WI 54729-2329
Phone
(715) 723-5688
NPI assigned
Sep 1, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Dr. Curtis Dallin Calder, DDSNPI 1326803040
Title
Owner
Phone
(208) 716-9055

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

123 W Willow St
Chippewa Falls, WI 54729-2329

Mailing address

123 W Willow St
Chippewa Falls, WI 54729-2329
Phone (715) 723-5688

Other identifiers 1

IdentifierTypeStateIssuer
1326803040OtherNPI

National Provider Directory

National Provider Directory

Locations

123 W Willow St
Chippewa Falls, WI 54729
Phone (715) 723-5688

Practitioners & affiliated clinicians

Practitioners 2

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": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1205715422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W WILLOW ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292329",
            "telephone_number": "715-723-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W WILLOW ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292329",
            "telephone_number": "715-723-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW STREET DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "DALLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-716-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326803040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.