NPIMap

Organization Active NPI

La Crosse Community Dental

  • Dental Clinic/Center
  • La Crosse, WI
National Provider Identifier
1306098397
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LA CROSSE COMMUNITY DENTAL
Practice address
1300 Badger St
La Crosse, WI 54601-1502
Phone
(608) 782-2840
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Dennis C. Loeffler
Title
Dental Director
Phone
(608) 797-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1300 Badger St
La Crosse, WI 54601-1502

Mailing address

1300 Badger St
La Crosse, WI 54601-1502
Phone (608) 782-2840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1306098397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BADGER ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011502",
            "telephone_number": "608-782-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BADGER ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011502",
            "telephone_number": "608-782-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CROSSE COMMUNITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "LOEFFLER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "608-797-3160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.