Dr Tom Statz DDS SC

Primary specialty

DentistTaxonomy code 122300000X

License

5001497015 Issued in WI

Legal business name

DR TOM STATZ DDS SC

Practice address

1608 Ohm Ave
Eau Claire, WI 54701

Phone

(715) 835-8311

Fax

(715) 835-8311

NPI assigned

Jan 3, 2007

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

Thomas Gilbert Statz, DDS

Title

Dentist

Phone

(715) 835-8311

Specialties & licenses 1

Addresses

Locations

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.

• Anthony Paul Martin, D.D.S.

  • General Practice Dentistry
  • Altoona, WI
  • NPI 1144324286
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235296716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 OHM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-8311",
            "fax_number": "715-835-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 OHM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-8311",
            "fax_number": "715-835-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TOM STATZ DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STATZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "715-835-8311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001497015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gillian Lynne Draganowski, NP
• Jonpaul Dragseth, PT, DPT
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• Dentist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Dentist 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.