Western Dairyland Eoc, Inc.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5946016 Issued in WI

Legal business name

WESTERN DAIRYLAND EOC, INC.

Practice address

23122 Whitehall Rd
Independence, WI 54747-7702

Phone

(715) 985-2391

Fax

(715) 985-3239

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

James W Schwartz

Title

Executive Director

Phone

(715) 985-2391

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Western Dairyland Economic Opportunity Council Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Western Dairyland Economic Opportunity Council, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Whitehall, WI
  • NPI 1336353226
  NPD tax ID
• Western Dairyland Eoc

  • Dental Clinic/Center
  • Independence, WI
  • NPI 1255660759
  NPD tax ID

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1356549422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23122 WHITEHALL RD",
            "city": "INDEPENDENCE",
            "state": "WI",
            "postal_code": "547477702",
            "telephone_number": "715-985-2391",
            "fax_number": "715-985-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23122 WHITEHALL RD",
            "city": "INDEPENDENCE",
            "state": "WI",
            "postal_code": "547477702",
            "telephone_number": "715-985-2391",
            "fax_number": "715-985-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DAIRYLAND EOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-985-2391"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5946016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38395400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Erica Kroening, RN/DNP PMHNP-BC
• School District of Independence
• Trempealeau County Health Care Center
• Tri-County Memorial Hospital, Inc.
• Western Dairyland Eoc
• Sarah J Wruck, RDH

• Dental Hygienist in Independence, WI
• Providers in Independence, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.