Organization Active NPI

Labadie Family Dentistry, S.C.

  • Dental Clinic/Center
  • Burlington, WI
National Provider Identifier
1356884613
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7064 Issued in WI
Legal business name
LABADIE FAMILY DENTISTRY, S.C.
Practice address
5019 Mormon Rd.
Burlington, WI 53105
Phone
(262) 716-9239
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Dr. Emily Labadie, D.D.S.
Title
Owner, Dentist
Phone
(262) 716-9239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7064 WI Primary

Addresses

Primary practice location

5019 Mormon Rd.
Burlington, WI 53105

Mailing address

5019 Mormon Rd.
Burlington, WI 53105
Phone (262) 716-9239

Other identifiers 1

IdentifierTypeStateIssuer
7064-15OtherWIDEPARTMENT OF REGULATION & LICENSES

National Provider Directory

National Provider Directory

Locations

5019 Mormon Rd
Burlington, WI 53105
Phone (262) 716-9239

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1356884613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 MORMON RD.",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "53105",
            "telephone_number": "262-716-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 MORMON RD.",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "53105",
            "telephone_number": "262-716-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABADIE FAMILY DENTISTRY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "LABADIE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "262-716-9239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "7064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATION & LICENSES",
            "identifier": "7064-15",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.