Active NPI
Jennifer Hastings, D.D.S.
- General Practice Dentistry
- Menomonie, WI
National Provider Identifier
1336554039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7263-15
- Practice address
- 2409 Hils CT
Menomonie, WI 54751-1141 - Phone
- (715) 309-2999
- Fax
- (715) 309-2999
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7263-15 | WI | Primary |
Addresses
Primary practice location
2409 Hils CT
Menomonie, WI 54751-1141
Mailing address
2409 Hils CT
Menomonie, WI 54751-1141
Phone (715) 309-2999
Other practice location 1
425 W Prairie View Rd
Chippewa Falls, WI 54729-3389
Phone (715) 726-1060
Other practice location 2
425 W Prairie View Rd
Chippewa Falls, WI 54729-3389
Phone (715) 726-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7263-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Cedar Dentisry LLC | Current | Accepting new patients |
Locations
2409 Hils Ct
Menomonie, WI 54751
Phone (715) 309-2999
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Menomonie, WI
- NPI 1962910810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336554039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 HILS CT",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547511141",
"telephone_number": "715-309-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 HILS CT",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547511141",
"telephone_number": "715-309-2999",
"fax_number": "715-309-2999"
}
],
"practiceLocations": [
{
"address_1": "425 W Prairie View Rd",
"address_purpose": "LOCATION",
"city": "Chippewa Falls",
"state": "WI",
"postal_code": "547293389",
"country_code": "US",
"telephone_number": "715-726-1060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 W Prairie View Rd",
"address_purpose": "LOCATION",
"city": "Chippewa Falls",
"state": "WI",
"postal_code": "547293389",
"country_code": "US",
"telephone_number": "715-726-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASTINGS",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "7263-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.