NPIMap

Organization Active NPI

School District of Janesville

  • Dental Hygienist
  • Janesville, WI
National Provider Identifier
1245541655
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1689811432 Issued in WI
Legal business name
SCHOOL DISTRICT OF JANESVILLE
Practice address
527 S Franklin St
Janesville, WI 53548-4779
Phone
(608) 743-5097
Fax
(608) 743-5068
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mr. Mathew L Haeger, RN
Title
Manager of Health and Safety
Phone
(608) 743-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1689811432 WI Primary

Addresses

Primary practice location

527 S Franklin St
Janesville, WI 53548-4779

Mailing address

527 S Franklin St
Janesville, WI 53548-4779
Phone (608) 743-5097

Other identifiers 3

IdentifierTypeStateIssuer
1477735447MedicaidWI
1962691246MedicaidWI
1164603304MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
School District of Janesville5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1245541655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S FRANKLIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535484779",
            "telephone_number": "608-743-5097",
            "fax_number": "608-743-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S FRANKLIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535484779",
            "telephone_number": "608-743-5097",
            "fax_number": "608-743-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF JANESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "HAEGER",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER OF HEALTH AND SAFETY",
        "authorized_official_telephone_number": "608-743-5097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1689811432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477735447",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962691246",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164603304",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.