Organization Active NPI

Damrow Dental LLC

  • General Practice Dentistry
  • Neenah, WI
National Provider Identifier
1336568351
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6192-15 Issued in WI
Legal business name
DAMROW DENTAL LLC
Practice address
618 S Green Bay Rd
Neenah, WI 54956-3273
Phone
(267) 970-0572
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Michael Damrow, DDS
Title
Member
Phone
(267) 970-0572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6192-15 WI Primary

Addresses

Primary practice location

618 S Green Bay Rd
Neenah, WI 54956-3273

Mailing address

1350 Wittmann Dr
Menasha, WI 54952-3809
Phone (920) 886-6565

National Provider Directory

National Provider Directory

Locations

618 S Green Bay Rd
Neenah, WI 54956
Phone (267) 970-0572

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1336568351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WITTMANN DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523809",
            "telephone_number": "920-886-6565",
            "fax_number": "920-886-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S GREEN BAY RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563273",
            "telephone_number": "267-970-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMROW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "DAMROW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-970-0572",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6192-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.