Dentistry of West Bend, LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6537-15 Issued in WI

Legal business name

DENTISTRY OF WEST BEND, LTD.

Practice address

1270 Chestnut St
West Bend, WI 53095-3130

Phone

(262) 334-0316

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By 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. Jared John Harding, DDSNPI 1265753453

Title

Owner/Dentist

Phone

(608) 886-0223

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jared John Harding, D.D.S.

  • General Practice Dentistry
  • Hortonville, WI
  • NPI 1265753453
  NPD (past) Authorized official
• Paul D Tyberg, DDS

  • General Practice Dentistry
  • West Bend, WI
  • NPI 1699862094
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1437552841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CHESTNUT ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953130",
            "telephone_number": "262-334-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 CHESTNUT ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953130",
            "telephone_number": "262-334-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF WEST BEND, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "608-886-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6537-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora De Lise, D.P.T.
• Janice Marie De Smidt, MA CCC-SLP
• Jennifer Deering, APNP
• Teresa Delcore
• Rhyann Deline, DC
• Jennifer Depagter, CRNA
• Dermatology and Cosmetic Physicians, SC
• Diagnostic Services of Washington County SC
• Diane Lapota Foundational Wellness LLC (Diane Lapota Foundational Wellness)
• William Dick, OD

• Dental Clinic/Center in West Bend, WI
• Providers in West Bend, 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 Sep 29, 2014; 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.