Organization Active NPI

Appleton Family Dentistry SC

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1447325527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPLETON FAMILY DENTISTRY SC
Practice address
2830 N Mason St
Appleton, WI 54914-1353
Phone
(920) 731-2356
Fax
(920) 731-5354
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard E GosseNPI 1285702415
Title
Partner Dentist
Phone
(920) 731-2356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2830 N Mason St
Appleton, WI 54914-1353

Mailing address

2830 N Mason St
Appleton, WI 54914-1353
Phone (920) 731-2356

National Provider Directory

National Provider Directory

Locations

2830 N Mason St
Appleton, WI 54914
Phone (920) 731-2356

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447325527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N MASON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141353",
            "telephone_number": "920-731-2356",
            "fax_number": "920-731-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N MASON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141353",
            "telephone_number": "920-731-2356",
            "fax_number": "920-731-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETON FAMILY DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSSE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "920-731-2356",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.