Active NPI
Allison-Zak LLC
- Dental Clinic/Center
- Manitowoc, WI
National Provider Identifier
1386842847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ALLISON-ZAK LLC
- Practice address
- 1415 N 8TH St
Manitowoc, WI 54220-2051 - Phone
- (920) 684-0123
- Fax
- (920) 682-7374
- NPI assigned
- Jul 6, 2007
- 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
- Ms. Cheri L Ertman
- Title
- Practice Manager
- Phone
- (920) 684-0123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1415 N 8TH St
Manitowoc, WI 54220-2051
Mailing address
1415 N 8TH St
Manitowoc, WI 54220-2051
Phone (920) 684-0123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199059200000",
"number": "1386842847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 N 8TH ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202051",
"telephone_number": "920-684-0123",
"fax_number": "920-682-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N 8TH ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202051",
"telephone_number": "920-684-0123",
"fax_number": "920-682-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLISON-ZAK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2007-12-31",
"status": "A",
"authorized_official_last_name": "ERTMAN",
"authorized_official_first_name": "CHERI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "920-684-0123",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.