Organization Active NPI

Abh Dental Enterprises

  • Dentist
  • Pulaski, WI
National Provider Identifier
1407550296
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ABH DENTAL ENTERPRISES
Practice address
985 Corporate Way
Pulaski, WI 54162-2701
Phone
(920) 822-8388
Fax
(920) 822-1735
NPI assigned
Mar 28, 2023
Organization subpart
Yes
Parent organization
ABH DENTAL ENTERPRISESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Adam Hammerbeck, DDSNPI 1821469024
Title
Owner/Dentist
Phone
(920) 822-8388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Part of
Abh Dental Enterprises

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

985 Corporate Way
Pulaski, WI 54162-2701

Mailing address

985 Corporate Way
Pulaski, WI 54162-2701
Phone (920) 822-8388

Other practice location 1

759 S Saint Augustine St
Pulaski, WI 54162-9473
Phone (920) 822-8388

Other names 1

NPPES NPI Registry
  • Hammerbeck Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2024.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1407550296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 CORPORATE WAY",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541622701",
            "telephone_number": "920-822-8388",
            "fax_number": "920-822-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 CORPORATE WAY",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541622701",
            "telephone_number": "920-822-8388",
            "fax_number": "920-822-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 S Saint Augustine St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "WI",
            "postal_code": "541629473",
            "country_code": "US",
            "telephone_number": "920-822-8388",
            "fax_number": "920-822-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABH DENTAL ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABH DENTAL ENTERPRISES",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-01-17",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "HAMMERBECK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "920-822-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammerbeck Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hammerbeck Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pulaski, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.