MDC Sun Prairie LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MDC SUN PRAIRIE LLC

Practice address

1460 W Main St
Sun Prairie, WI 53590-1846

Phone

(608) 837-4636

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. William C Mauthe III, D.D.S.

Title

Owner

Phone

(920) 921-1244

Specialties & licenses 1

Addresses

Other names 1

• Westside Dental Doing business as

Locations

Practitioners 1

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

• Robert J. Ziino, D.D.S.

  • General Practice Dentistry
  • Sun Prairie, WI
  • NPI 1154330991
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1417330945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E 1ST ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354204",
            "telephone_number": "608-837-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901846",
            "telephone_number": "608-837-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC SUN PRAIRIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MAUTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-921-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kailey Mae McIlvaine, OTD
• Amanda McKeaton, LPC
• Tanner J. McKenna, D.D.S.
• Leslie Alec McNeill, LPTA
• Mary M McNicholas, CNM MSN
• Cynthia Lee Mehta, MD
• Erica L Meier, COTA
• Meister Chiropractic SC
• Mark Allen Meister, DC
• Anna Melugin, APSW

• General Practice Dentistry in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.