NPIMap

Organization Active NPI

Ashland Dental Clinic Inc

  • Dentist
  • Ashland, WI
National Provider Identifier
1295743193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1779G Issued in WI
Legal business name
ASHLAND DENTAL CLINIC INC
Practice address
300 9TH Ave W
Ashland, WI 54806
Phone
(715) 682-2733
Fax
(715) 682-0226
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carl Adam Hambuch Jr., DDSNPI 1356530240
Title
President
Phone
(715) 682-2733

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
Dentist 122300000X 1779G WI Primary

Addresses

Primary practice location

300 9TH Ave W
Ashland, WI 54806

Mailing address

300 9TH Ave W
Ashland, WI 54806
Phone (715) 682-2733

Other identifiers 1

IdentifierTypeStateIssuer
33366500MedicaidWI

Other names 1

  • Carl A Hambuch Jr DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

300 9th Ave W
Ashland, WI 54806
Phone (715) 682-2733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295743193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 9TH AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-2733",
            "fax_number": "715-682-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 9TH AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-2733",
            "fax_number": "715-682-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMBUCH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-682-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1779G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33366500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl A Hambuch Jr DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ashland, WI

Sources for this page

  • 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.