Active NPI
Labadie Family Dentistry, S.C.
- Dental Clinic/Center
- Burlington, WI
National Provider Identifier
1356884613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 7064
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7064-15 | Other | WI | DEPARTMENT OF REGULATION & LICENSES |
National Provider Directory
National Provider DirectoryLocations
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.