Greenbranch Dental L.L.C

Primary specialty

DentistTaxonomy code 122300000X

License

6052 Issued in WI

Legal business name

GREENBRANCH DENTAL L.L.C

Practice address

501 Granite St
Hurley, WI 54534-1372

Phone

(715) 561-2386

Fax

(715) 561-2011

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. Jeffrey Michael Nehring, D.D.SNPI 1851500755

Title

Co-Owner and President

Phone

(715) 476-3432

Specialties & licenses 2

Addresses

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.

• Jeffrey M Nehring, DDS

  • Dentist
  • Mercer, WI
  • NPI 1851500755
  NPD (past) Authorized official

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": "1437552940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "MERCER",
            "state": "WI",
            "postal_code": "545470146",
            "telephone_number": "715-476-3432",
            "fax_number": "715-476-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GRANITE ST",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341372",
            "telephone_number": "715-561-2386",
            "fax_number": "715-561-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRANCH DENTAL L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "NEHRING",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "715-476-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2279",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center Life Health LLC
• County of Iron
• County of Iron
• County of Iron
• Carol Ann Decker, LPN
• Paul G Hagemann, DDS
• Michele L Harma, FNP
• Anne M Harris, MS, LPC, BCPC
• Gaylene Heaton, OT-SC
• Tara Lee Hendges, COTA

• Dentist in Hurley, WI
• Providers in Hurley, WI by specialty
• Dentist 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.