NPIMap

Organization Active NPI

Mabeus Dental Office, LLC

  • General Practice Dentistry
  • Marshfield, WI
National Provider Identifier
1306977673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4431 Issued in WI
Legal business name
MABEUS DENTAL OFFICE, LLC
Practice address
101 W. McMillan St
Suite 2a
Marshfield, WI 54449-1039
Phone
(715) 384-5444
Fax
(715) 384-9019
NPI assigned
Mar 8, 2007
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
David Mabeus, DDSNPI 1952432452
Title
Owner
Phone
(715) 384-5444

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4431 WI Primary

Addresses

Primary practice location

101 W. McMillan St
Suite 2a
Marshfield, WI 54449-1039

Mailing address

101 W. McMillan St
Suite 2a
Marshfield, WI 54449-1039
Phone (715) 384-5444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306977673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W. MCMILLAN ST",
            "address_2": "SUITE 2A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491039",
            "telephone_number": "715-384-5444",
            "fax_number": "715-384-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. MCMILLAN ST",
            "address_2": "SUITE 2A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491039",
            "telephone_number": "715-384-5444",
            "fax_number": "715-384-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEUS DENTAL OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MABEUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-384-5444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, 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.