NPIMap

Organization Active NPI

Nading Periodontics

  • Periodontics
  • Lake Geneva, WI
National Provider Identifier
1306923487
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
129015 Issued in WI
Legal business name
NADING PERIODONTICS
Practice address
255 Havenwood Dr
Lake Geneva, WI 53147
Phone
(262) 248-8505
Fax
(262) 248-3639
NPI assigned
Nov 1, 2006
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. Thomas Henry Nading, DDS
Title
Periodontist Owner
Phone
(262) 248-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 129015 WI Primary

Addresses

Primary practice location

255 Havenwood Dr
Lake Geneva, WI 53147

Mailing address

255 Havenwood Dr
Lake Geneva, WI 53147
Phone (262) 248-8505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306923487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HAVENWOOD DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "53147",
            "telephone_number": "262-248-8505",
            "fax_number": "262-248-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HAVENWOOD DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "53147",
            "telephone_number": "262-248-8505",
            "fax_number": "262-248-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADING PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PERIODONTIST OWNER",
        "authorized_official_telephone_number": "262-248-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "129015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, 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.