NPIMap

Organization Active NPI

Dental Clinic of Onalaska

  • Dentist
  • Onalaska, WI
National Provider Identifier
1508076704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4528 Issued in WI
Legal business name
DENTAL CLINIC OF ONALASKA
Practice address
1008 Main St
Onalaska, WI 54650-2741
Phone
(608) 783-3341
NPI assigned
May 23, 2007
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. Mike P. Olsen, D.D.S.
Title
President
Phone
(608) 783-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4528 WI Primary

Addresses

Primary practice location

1008 Main St
Onalaska, WI 54650-2741

Mailing address

1008 Main St
Onalaska, WI 54650-2741
Phone (608) 783-3341

Other names 1

  • Trempealeau Dental Other name

National Provider Directory

National Provider Directory

Locations

1008 Main St
Onalaska, WI 54650
Phone (608) 783-3341

Practitioners & affiliated clinicians

Practitioners 3

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508076704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502741",
            "telephone_number": "608-783-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502741",
            "telephone_number": "608-783-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CLINIC OF ONALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-783-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "4528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trempealeau Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Onalaska, 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.