Organization Active NPI

Orchid Enterprises

  • Dental Clinic/Center
  • Green Bay, WI
National Provider Identifier
1255079513
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORCHID ENTERPRISES
Practice address
2121 S Webster Ave Ste 3
Green Bay, WI 54301-2290
Phone
(920) 437-8017
Fax
(920) 437-4852
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Dr. Stephen Joseph Syrjamaki, DDSNPI 1558624429
Title
President/ Partner
Phone
(920) 562-3736

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2121 S Webster Ave Ste 3
Green Bay, WI 54301-2290

Mailing address

2121 S Webster Ave Ste 3
Green Bay, WI 54301-2290
Phone (920) 437-8017

Other names 1

  • Amenity Dental Clinic LLC Other name

National Provider Directory

National Provider Directory

Locations

2121 S Webster Ave
Ste 3
Green Bay, WI 54301
Phone (920) 437-8017

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": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1255079513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S WEBSTER AVE STE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012290",
            "telephone_number": "920-437-8017",
            "fax_number": "920-437-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S WEBSTER AVE STE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012290",
            "telephone_number": "920-437-8017",
            "fax_number": "920-437-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "SYRJAMAKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/ PARTNER",
        "authorized_official_telephone_number": "920-562-3736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amenity Dental Clinic LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.