High Bridge Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

HIGH BRIDGE PERIODONTICS LLC

Practice address

3203 Stein Blvd Ste B
Eau Claire, WI 54701-6946

Phone

(715) 835-1060

NPI assigned

Dec 26, 2023

Organization subpart

Yes

Parent organization

CHERRY TREE DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Andrew Ziegler, CPA

Title

Financial Controller

Phone

(608) 817-3252

Specialties & licenses 1

Addresses

Part of

Cherry Tree Dental LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cherry Tree Dental, LLC

  • General Practice Dentistry
  • Wausau, WI
  • NPI 1861547754
  NPPES parent name

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1396514899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 215",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-817-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 STEIN BLVD STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016946",
            "telephone_number": "715-835-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH BRIDGE PERIODONTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY TREE DENTAL, LLC",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "608-817-3252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice M Hicks, MD
• Brandon Harry Hidaka, M.D., PH.D.
• Martha A. Hidalgo, MD
• Anna L Hiess
• Kalin Hiess, SAC-IT
• Ellen Julina Higley, MSSW, LCSW
• Hillside Dental
• Ashley A Hinke, CSAC
• Jason T Hinke, SAC-IT
• Courtney Ann Hinnenkamp, M.S. LPC

• Periodontics in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Periodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.