Jeffrey W Orear DDS SC

Primary specialty

DentistTaxonomy code 122300000X

License

0003061 Issued in WI

Legal business name

JEFFREY W OREAR DDS SC

Practice address

110 N Ogden Rd
Peshtigo, WI 54157-1730

Phone

(715) 582-4571

Fax

(715) 582-4986

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wayne OrearNPI 1174656938

Title

Dentist Owner

Phone

(715) 582-4571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey W. Orear, D.D.S.

  • Dentist
  • Peshtigo, WI
  • NPI 1174656938
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255464467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N OGDEN RD",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571730",
            "telephone_number": "715-582-4571",
            "fax_number": "715-582-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N OGDEN RD",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571730",
            "telephone_number": "715-582-4571",
            "fax_number": "715-582-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W OREAR DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OREAR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "715-582-4571",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "0003061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33448700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FMPS LLC
• Laurie Lynn Gaines, LPN/LVN
• Mollie Hartwig, SLP
• Nick Jackson Jr., RPH
• Jean A Jarosinski, PTA
• Thia Miranda Johnson, PTA
• Ramona S Klevgard, APNP
• Lori Lee Kobishop, LPN
• Christie Ann Koch, RN
• Kristine Noel Koenigs, OTR

• Dentist in Peshtigo, WI
• Providers in Peshtigo, 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.