NPIMap

Organization Active NPI

Advanced Endodontics, SC

  • Endodontics
  • Altoona, WI
National Provider Identifier
1437971470
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ADVANCED ENDODONTICS, SC
Practice address
788 Oakleaf Way
Altoona, WI 54720-2265
Phone
(715) 834-8414
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayla Olejniczak, MA
Title
Office Manager
Phone
(715) 834-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

788 Oakleaf Way
Altoona, WI 54720-2265

Mailing address

788 Oakleaf Way
Altoona, WI 54720-2265
Phone (715) 834-8414

Other practice location 1

821 Bear Paw Ave
Rice Lake, WI 54868-1378
Phone (715) 834-8414

National Provider Directory

National Provider Directory

Locations

788 Oakleaf Way
Altoona, WI 54720
Phone (715) 834-8414

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1437971470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 OAKLEAF WAY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202265",
            "telephone_number": "715-834-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 OAKLEAF WAY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202265",
            "telephone_number": "715-834-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Bear Paw Ave",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548681378",
            "country_code": "US",
            "telephone_number": "715-834-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED ENDODONTICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "OLEJNICZAK",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-834-2593",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.