Organization Active NPI

Pathway Dental of Rice Lake

  • Dentist
  • Rice Lake, WI
National Provider Identifier
1346108784
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATHWAY DENTAL OF RICE LAKE
Practice address
1701 W Knapp St Ste C
Rice Lake, WI 54868-1350
Phone
(715) 434-8364
Fax
(715) 434-8367
NPI assigned
Jan 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. Jacob Heringer, DMDNPI 1639482508
Title
Owner
Phone
(715) 434-8364

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1701 W Knapp St Ste C
Rice Lake, WI 54868-1350

Mailing address

1701 W Knapp St Ste C
Rice Lake, WI 54868-1350
Phone (715) 434-8364

National Provider Directory

National Provider Directory

Locations

1701 W Knapp St
Ste C
Rice Lake, WI 54868
Phone (715) 434-8364

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": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1346108784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W KNAPP ST STE C",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681350",
            "telephone_number": "715-434-8364",
            "fax_number": "715-434-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W KNAPP ST STE C",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681350",
            "telephone_number": "715-434-8364",
            "fax_number": "715-434-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY DENTAL OF RICE LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "HERINGER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-434-8364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.