NPIMap

Organization Active NPI

Pelsue Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Janesville, WI
National Provider Identifier
1295818177
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PELSUE ORTHODONTICS
Practice address
1616 N Randall Ave
Janesville, WI 53545-1118
Phone
(608) 754-4998
Fax
(608) 754-5652
NPI assigned
Oct 23, 2006
Last updated
May 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. Mitchell W. Pelsue, D.D.S.NPI 1356424303
Title
Orthodontist
Phone
(608) 754-4998

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1616 N Randall Ave
Janesville, WI 53545-1118

Mailing address

1616 N Randall Ave
Janesville, WI 53545-1118
Phone (608) 754-4998

Other names 1

  • Mitchell W. Pelsue, D.D.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

1616 N Randall Ave
Janesville, WI 53545
Phone (608) 754-4998

Practitioners & affiliated clinicians

Practitioners 3

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1295818177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N RANDALL AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451118",
            "telephone_number": "608-754-4998",
            "fax_number": "608-754-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N RANDALL AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451118",
            "telephone_number": "608-754-4998",
            "fax_number": "608-754-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELSUE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "PELSUE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "608-754-4998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell W. Pelsue, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.