Organization Active NPI

Denturesmart Denture Service LLC

  • Dental Laboratory Technician
  • Onalaska, WI
National Provider Identifier
1417345307
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Laboratory TechnicianTaxonomy code 126900000X
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

Updated by the provider on Jan 9, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Dental Laboratory TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.