John Scaletta D.D.S.LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4308-015 Issued in WI

Legal business name

JOHN SCALETTA D.D.S.LTD.

Practice address

808 West Fifth St.
Neillsville, WI 54456-0067

Phone

(715) 743-3293

Fax

(715) 743-3294

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John A. Scaletta, D.D.S.NPI 1215009956

Title

Owner

Phone

(715) 743-7792

Specialties & licenses 1

Addresses

Locations

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.

• John A Scaletta I, D.D.S.

  • General Practice Dentistry
  • Neillsville, WI
  • NPI 1215009956
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295877363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1005 RESEWOOD AVE",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544566627",
            "telephone_number": "715-743-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WEST FIFTH ST.",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544560067",
            "telephone_number": "715-743-3293",
            "fax_number": "715-743-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SCALETTA D.D.S.LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCALETTA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-743-7792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4308-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Henry, COTA
• Autumn A Hocking, APSW
• Home Medical Solutions LLC
• Barry Jakel
• James Adam Jenders, DDS
• David R Jones, MD
• Elizabeth A Jones
• Kathryn D Kinter, LPC
• David Klieforth, RPH
• Taylor M Koenig, PT, DPT

• General Practice Dentistry in Neillsville, WI
• Providers in Neillsville, WI by specialty
• General Practice Dentistry 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.