Active NPI
Denturesmart Denture Service LLC
- Dental Laboratory Technician
- Onalaska, WI
National Provider Identifier
1417345307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Laboratory Technician
- Legal business name
- DENTURESMART DENTURE SERVICE LLC
- Practice address
- 605 2ND Ave S
Ste 130
Onalaska, WI 54650-3388 - Phone
- (608) 519-3946
- Fax
- (608) 519-3947
- NPI assigned
- Dec 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott William Cortopassi
- Title
- Owner
- Phone
- (608) 519-3946
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Dental Laboratory Technician | 126900000X | Primary |
Addresses
Primary practice location
605 2ND Ave S
Ste 130
Onalaska, WI 54650-3388
Mailing address
605 2ND Ave S
Suite 130
Onalaska, WI 54650-3388
Phone (608) 519-3946
National Provider Directory
National Provider DirectoryLocations
605 2nd Ave S
Ste 130
Onalaska, WI 54650
Phone (608) 519-3946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420761600000",
"number": "1417345307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 2ND AVE S",
"address_2": "SUITE 130",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546503388",
"telephone_number": "608-519-3946",
"fax_number": "608-519-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 2ND AVE S",
"address_2": "STE 130",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546503388",
"telephone_number": "608-519-3946",
"fax_number": "608-519-3947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTURESMART DENTURE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-31",
"last_updated": "2015-01-09",
"status": "A",
"authorized_official_last_name": "CORTOPASSI",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-519-3946",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "126900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Laboratory Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.