Pine View Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PINE VIEW DENTAL, LLC

Practice address

1415 W Mason St
Green Bay, WI 54303-2120

Phone

(920) 499-9131

NPI assigned

Jun 11, 2009

Last updated

Jun 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris J Hansen

Title

Owner

Phone

(920) 499-9131

Specialties & licenses 1

Addresses

Locations

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.

• Mark Edward Gonyo, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1811087794
  NPD (past)
• Brian J Wackwitz, D.D.S.

  • Dentist
  • Madison, WI
  • NPI 1548489420
  NPD (past)

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1215164777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032120",
            "telephone_number": "920-499-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032120",
            "telephone_number": "920-499-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VIEW DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-499-9131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Pigeon, CNM, FNP
• Kasey M Pigeon, PA-C
• Scott Elwain Pigeon, RPH
• Gauri Shailesh Pikale, MD
• Pine Grove Senior Living LLC (Blue Jay Springs Senior Living and Memory Care)
• Christopher Pinn, MD
• Chelsea Pinozek, DDS
• Lisa M Piontek, MSN APNP NNP-BC
• Lisa Rachel Piontek, D.D.S
• Mary-Clare Piontek, RPH

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, 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 Jun 11, 2009; 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.