Madison Prosthodontics LLC

Primary specialty

DentistTaxonomy code 122300000X

License

3233-015 Issued in WI

Legal business name

MADISON PROSTHODONTICS LLC

Practice address

5510 Medical Cir
Suite a
Madison, WI 53719-1239

Phone

(608) 358-3370

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Genevieve Poppe

Title

Director of Operations

Phone

(608) 358-3370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1346551256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MEDICAL CIR",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MEDICAL CIR",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191239",
            "telephone_number": "608-358-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PROSTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "POPPE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "608-358-3370"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3233-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Madison, WI
• Providers in Madison, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.