Neighborhood Smiles of Lacrosse, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEIGHBORHOOD SMILES OF LACROSSE, LLC

Practice address

3143 State Rd Ste 201
La Crosse, WI 54601-6964

Phone

(608) 788-6939

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Vicki McManus

Title

Ceo

Phone

(360) 770-3077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1346537545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 5TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 STATE RD STE 201",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016964",
            "telephone_number": "608-788-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD SMILES OF LACROSSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-770-3077"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Anthonia Nduka, MD
• Leiah J Neary, PA
• Kaylee J Nedegaard
• Petra Nedoba, M.D.
• Madison Neece, LMSW
• Makay Bryant Neilson, O.D.
• David William Nelms, M.D.
• Alexandra Brooke Nelson, DO
• Ann Nelson, COTA
• Brady Austin Nelson, MD

• Dentist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.