Organization Active NPI

Smile Care Center SC

  • Dental Clinic/Center
  • La Crosse, WI
National Provider Identifier
1255947479
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE CARE CENTER SC
Practice address
2030 7TH St S
La Crosse, WI 54601-5202
Phone
(608) 782-2812
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Heather Rose Reyerson, DDSNPI 1003824525
Title
Owner
Phone
(608) 782-2812

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

2030 7TH St S
La Crosse, WI 54601-5202

Mailing address

2030 7TH St S
La Crosse, WI 54601-5202
Phone (608) 782-2812

National Provider Directory

National Provider Directory

Locations

2030 7th St S
La Crosse, WI 54601
Phone (608) 782-2812

Practitioners & affiliated clinicians

Practitioners 1

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": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1255947479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015202",
            "telephone_number": "608-782-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015202",
            "telephone_number": "608-782-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CARE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "REYERSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-782-2812",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

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