Little Sprouts Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5824-15 Issued in WI

Legal business name

LITTLE SPROUTS DENTAL, LLC

Doing business as

Little Sprouts Dental

Practice address

W62N563 Washington Ave
Lower Level
Cedarburg, WI 53012-1986

Phone

(262) 297-0079

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew H. Langewisch, D.D.S.

Title

Managing Member

Phone

(262) 297-0079

Specialties & licenses 1

Addresses

Other names 1

• Little Sprouts Dental Doing business as

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1417298696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W62N563 WASHINGTON AVE",
            "address_2": "LOWER LEVEL",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121986",
            "telephone_number": "262-297-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62N563 WASHINGTON AVE",
            "address_2": "LOWER LEVEL",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121986",
            "telephone_number": "262-297-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SPROUTS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "LANGEWISCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "262-297-0079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5824-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Sprouts Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jo Kuck, P.T.
• Joseph William Kunick, DDS
• Chelsea Kurtz, APNP
• Rachel R Lawrence, OTR
• Lauren C Leslie
• Gary Lohaus, MD
• Kristin A Lohr, APNP
• Rachel Ludwig
• Patricia Jo Lynch, LPTA
• M Ortho, SC

• Dental Clinic/Center in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.