Organization Active NPI

Allison-Zak LLC

  • Dental Clinic/Center
  • Manitowoc, WI
National Provider Identifier
1386842847
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 31, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.