NPIMap

Organization Active NPI

Liesen Pinzl Kessinger Dental LLC

  • General Practice Dentistry
  • Woodruff, WI
National Provider Identifier
1457934945
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIESEN PINZL KESSINGER DENTAL LLC
Practice address
240 Oak St
Woodruff, WI 54568
Phone
(715) 356-3474
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Monica M Schmidt
Title
Office Manager
Phone
(715) 762-4825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

240 Oak St
Woodruff, WI 54568

Mailing address

PO Box 260
Woodruff, WI 54568-0260
Phone (715) 356-3474

Other names 1

  • Dr.s Liesen and Pinzl, DDS Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drliesenpinzl@centurytel.net Direct

National Provider Directory

National Provider Directory

Locations

277 4th Ave N
Park Falls, WI 54552

Practitioners & affiliated clinicians

Practitioners 2

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": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1457934945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680260",
            "telephone_number": "715-356-3474",
            "fax_number": "715-358-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 OAK ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "54568",
            "telephone_number": "715-356-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIESEN PINZL KESSINGER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-762-4825"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drliesenpinzl@centurytel.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "277 4th Ave N",
            "city": "Park Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545521114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr.s Liesen and Pinzl, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dr.s Liesen and Pinzl, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.