Organization Active NPI

Wegmann&Farmer Dental Health Center

  • General Practice Dentistry
  • Lancaster, WI
National Provider Identifier
1215089859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4633 Issued in WI
Legal business name
WEGMANN&FARMER DENTAL HEALTH CENTER
Practice address
114 S Madison St
Lancaster, WI 53813-1761
Phone
(608) 723-4367
Fax
(608) 723-4713
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wade Leslie Farmer, DDSNPI 1144364126
Title
President
Phone
(608) 723-4367

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 4633 WI Primary

Addresses

Primary practice location

114 S Madison St
Lancaster, WI 53813-1761

Mailing address

114 S Madison St
Lancaster, WI 53813-1761
Phone (608) 723-4367

National Provider Directory

National Provider Directory

Locations

114 S Madison St
Lancaster, WI 53813
Phone (608) 723-4367

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215089859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MADISON ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131761",
            "telephone_number": "608-723-4367",
            "fax_number": "608-723-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MADISON ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131761",
            "telephone_number": "608-723-4367",
            "fax_number": "608-723-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMANN&FARMER DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-723-4367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.