Dover 1 Kansasville Grade School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DOVER 1 KANSASVILLE GRADE SCHOOL

Practice address

4101 S Beaumont Ave
Kansasville, WI 53139-9702

Phone

(262) 878-3773

Fax

(262) 878-1231

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Giles Williams

Title

Administrator

Phone

(262) 878-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1497934038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S BEAUMONT AVE",
            "city": "KANSASVILLE",
            "state": "WI",
            "postal_code": "531399702",
            "telephone_number": "262-878-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S BEAUMONT AVE",
            "city": "KANSASVILLE",
            "state": "WI",
            "postal_code": "531399702",
            "telephone_number": "262-878-3773",
            "fax_number": "262-878-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER 1 KANSASVILLE GRADE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GILES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-878-3773"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44242700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kansasville, WI
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.