Racine Tooth Town Dentistry for Kids

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RACINE TOOTH TOWN DENTISTRY FOR KIDS

Practice address

3801 Washington Ave
Racine, WI 53405-2853

Phone

(414) 949-1938

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By 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

Nathan Henry Knutsen, DDSNPI 1073633699

Title

Owning Dentist

Phone

(414) 797-0328

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan H Knutsen, D.D.S

  • Dentist
  • Milwaukee, WI
  • NPI 1073633699
  NPD (past) Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1427610179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052853",
            "telephone_number": "414-949-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052853",
            "telephone_number": "414-949-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINE TOOTH TOWN DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "KNUTSEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNING DENTIST",
        "authorized_official_telephone_number": "414-797-0328",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@toothtownsbd.com",
            "affiliation": "N",
            "endpointDescription": "Secure office email",
            "address_1": "3801 Washington Ave",
            "city": "Racine",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534052853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Racine Dental Group S C
• Racine Emergency Physicians, S.C.
• Racine Family Care Chiropractic, LLC (Sharon Hill, DC)
• Racine Optical Co., Family Vision Care, Inc
• Racine Psychological Services, Inc.
• Racine Unified School District
• Chloe Marie Ragland, NP
• Laura Ramos, LPC
• Sammy Joe Rangel, CSAC
• Kathleen Rasmussen, LPC

• Dental Clinic/Center in Racine, WI
• Providers in Racine, 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 Jul 2, 2019; 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.