Children's Dental Care of Kenosha

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTAL CARE OF KENOSHA

Practice address

2901 35TH St
Kenosha, WI 53140-5119

Phone

(262) 658-3488

Fax

(262) 658-3433

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By 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

Dennis M Connolly, DDS MSNPI 1245215128

Title

President

Phone

(262) 658-3488

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dennis M Connolly, DDS MS

  • Periodontics
  • Kenosha, WI
  • NPI 1245215128
  Authorized official Same address or phone

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215948377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 35TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405119",
            "telephone_number": "262-658-3488",
            "fax_number": "262-658-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 35TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405119",
            "telephone_number": "262-658-3488",
            "fax_number": "262-658-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CARE OF KENOSHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-658-3488",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiappetta Shoes Inc
• Ferdinand Carl Chiappetta, DDS
• Fred C Chiappetta, CERTIFIED PEDORTHIST
• Children Guidance Support Services LLC
• Children's Behavioral Health Services, LLP
• Children's Health System, Inc. (Children's Urgent Care - Kenosha)
• Children's Hospital of Wisconsin
• Children's Hospital of Wisconsin, Inc. (Children's Hospital of Wisconsin, Inc. - Kenosha)
• Children's Medical Group (Lakeside Pediatrics)
• Children's Medical Group (Kenosha Pediatrics)

• Pediatric Dentistry in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pediatric Dentistry in Wisconsin

• 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.