Organization Active NPI

Kristo LTD

Doing business as Rapids Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wisconsin Rapids, WI
National Provider Identifier
1407488075
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KRISTO LTD
Doing business as
Rapids Orthodontics
Practice address
440 Chestnut St # 100
Wisconsin Rapids, WI 54494-4807
Phone
(715) 421-5255
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
KRISTO LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Tammy Wegner
Title
Operations Support Manager
Phone
(715) 598-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

440 Chestnut St # 100
Wisconsin Rapids, WI 54494-4807

Mailing address

3902 Oakwood Hills Pkwy
Eau Claire, WI 54701-7780
Phone (715) 598-7473

Other names 1

  • Rapids Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tammyw@kristoorthodontics.com

National Provider Directory

National Provider Directory
Tax ID family
Kristo LTD8 organizations share this tax ID, including this one
Part of
Kristo LTD

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

440 Chestnut St
#100
Wisconsin Rapids, WI 54494
Phone (715) 421-5255

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1407488075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017780",
            "telephone_number": "715-598-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST # 100",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944807",
            "telephone_number": "715-421-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTO LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRISTO LTD",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT MANAGER",
        "authorized_official_telephone_number": "715-598-7473"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammyw@kristoorthodontics.com",
            "affiliation": "N",
            "endpointDescription": "EC address",
            "address_1": "440 Chestnut St # 100",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544944807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rapids Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.