NPIMap

Organization Active NPI

Szmanda Dental Center

  • General Practice Dentistry
  • Wittenberg, WI
National Provider Identifier
1306092044
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001554 Issued in WI
Legal business name
SZMANDA DENTAL CENTER
Practice address
202 E Grand Ave
Wittenberg, WI 54499-9113
Phone
(715) 253-3200
NPI assigned
Aug 13, 2008
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Paul William Szmanda, DDSNPI 1336230440
Title
Owner
Phone
(715) 845-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5001554 WI Primary

Addresses

Primary practice location

202 E Grand Ave
Wittenberg, WI 54499-9113

Mailing address

202 E Grand Ave
Wittenberg, WI 54499-9113
Phone (715) 253-3200

National Provider Directory

National Provider Directory
Tax ID family
Szmanda Dental Center SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 E Grand Ave
Wittenberg, WI 54499
Phone (715) 253-3200

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1306092044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E GRAND AVE",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999113",
            "telephone_number": "715-253-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E GRAND AVE",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999113",
            "telephone_number": "715-253-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SZMANDA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SZMANDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-845-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wittenberg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.