MDC Ripon SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6833 Issued in WI

Legal business name

MDC RIPON SC

Doing business as

Ripon Family Dentistry

Practice address

106 Watson St
Ripon, WI 54971-1327

Phone

(920) 748-7731

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By 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

Dr. William C Mauthe III, D.D.S.

Title

Owner

Phone

(920) 921-1244

Specialties & licenses 1

Addresses

Other names 1

• Ripon Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurt W Piernot, DDS FAGD

  • General Practice Dentistry
  • Ripon, WI
  • NPI 1225114010
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1376951673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E 1ST ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354204",
            "telephone_number": "920-602-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711327",
            "telephone_number": "920-748-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC RIPON SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "MAUTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-921-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ripon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Longo, DO
• Jeanne M Lyke, MD
• Erin Maguire, LCSW
• Maplecrest Manor Inc.
• Maplecrest Manor Inc.
• Molly Jo Meier, DPM
• Jeffrey W Meincke-Reza, MD
• Inga Johanna Meixell, P.T.
• Midel Incorporated (Michalenes)
• Theodore D Miller, MD

• General Practice Dentistry in Ripon, WI
• Providers in Ripon, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.