Highland Lakes Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HIGHLAND LAKES ORAL SURGERY LLC

Practice address

550 E Timber Dr Stop 4
Rhinelander, WI 54501-2894

Phone

(715) 420-0999

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Natalie Marquardt

Title

Practice Manager

Phone

(715) 365-1777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joshua Daniel Bruce, JOSHUA BRUCE

  • Dentist
  • Oklahoma City, OK
  • NPI 1477874915
  NPD
• Aarathi Ravish Rao, MDS DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Weston, WI
  • NPI 1215388061
  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1265285506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E TIMBER DR STOP 4",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012894",
            "telephone_number": "715-420-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E TIMBER DR STOP 4",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012894",
            "telephone_number": "715-420-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND LAKES ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "715-365-1777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Senior Homecare Services, LLC
• Scott A Henrichs, D.C.
• Wendy Marie Henrichs, DC
• Michael J Henry, MD
• Highland Lakes Dental Center Inc. (Schmidt and Bruce Orthodontics)
• Hjelle Chiropractic Clinic, S.C.
• Anthony D Hjelle, D.C.
• Hannah G Hoffhein, APSW
• Jamie Hofschulte, PT
• Dean Hoger, HIS

• Oral and Maxillofacial Surgery (Dentist) in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.