Vineyard Family Dental,S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5791015 Issued in WI

Legal business name

VINEYARD FAMILY DENTAL,S.C.

Practice address

7410 N Teutonia Ave
Milwaukee, WI 53209-2008

Phone

(414) 351-6161

Fax

(414) 351-6162

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chul-Ha Baik, D.D.S.NPI 1780756668

Title

Owner

Phone

(414) 351-6161

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.

• Chul-Ha Baik, D.D.S.

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1780756668
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255404844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092008",
            "telephone_number": "414-351-6161",
            "fax_number": "414-351-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092008",
            "telephone_number": "414-351-6161",
            "fax_number": "414-351-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD FAMILY DENTAL,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIK",
        "authorized_official_first_name": "CHUL-HA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-351-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5791015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vin Baker Recovery LLC
• Stephanie Anne Vincent-Sheldon, MD
• Cara Vincent, PA-C
• Kendra K Vincent, PA-C
• Mark Vincent
• Shriya Vinjimoor
• Anna Vinnik, PHARMD
• Tasha Denise Vinson, O.T.R
• Bridgette N Virgil-Travis, LPN
• Tammy Renee Virgil, RN

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, 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 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.