Huntington Dental Offices, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3031 Issued in WI

Legal business name

HUNTINGTON DENTAL OFFICES, INC.

Practice address

1211 Huntington Ave
Wisconsin Rapids, WI 54494-7934

Phone

(715) 423-5950

Fax

(715) 423-0693

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall K Wood, D.D.S.NPI 1598087710

Title

President

Phone

(715) 423-5950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Randall Keith Wood, D.D.S.

  • General Practice Dentistry
  • Wisconsin Rapids, WI
  • NPI 1598087710
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457484966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HUNTINGTON AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544947934",
            "telephone_number": "715-423-5950",
            "fax_number": "715-423-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HUNTINGTON AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544947934",
            "telephone_number": "715-423-5950",
            "fax_number": "715-423-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON DENTAL OFFICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-423-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Hovre, COTA
• Trina D Howard, LCSW
• Christina Lynn Hoyt
• Timothy K Huebner, MD
• Michael Garvey Hughes, DDS
• Ihc-Riverview Emergency Physicians, LLC
• Abigail Ingram
• Elizabeth Ironside, P.T.
• Matthew D. Ironside, MPT
• Macy Sue Jackan, OTR

• General Practice Dentistry in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.