NPIMap

Organization Active NPI

Michael R Lawler DDS SC

  • General Practice Dentistry
  • Lake Nebagamon, WI
National Provider Identifier
1316042393
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2470 Issued in WI
Legal business name
MICHAEL R LAWLER DDS SC
Practice address
6881 S Lake Avenue
Lake Nebagamon, WI 54849
Phone
(715) 374-2856
Fax
(715) 374-2299
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Mrs. Karen R Lawler
Title
Practice Manager
Phone
(715) 374-2856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2470 WI Primary

Addresses

Primary practice location

6881 S Lake Avenue
Lake Nebagamon, WI 54849

Mailing address

PO Box 520
Lake Nebagamon, WI 54849
Phone (715) 374-2856

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1316042393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "LAKE NEBAGAMON",
            "state": "WI",
            "postal_code": "54849",
            "telephone_number": "715-374-2856",
            "fax_number": "715-374-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 S LAKE AVENUE",
            "city": "LAKE NEBAGAMON",
            "state": "WI",
            "postal_code": "54849",
            "telephone_number": "715-374-2856",
            "fax_number": "715-374-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R LAWLER DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "715-374-2856",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Nebagamon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.