NPIMap

Organization Active NPI

Showalter, Inc

Doing business as Rock River Dental

  • General Practice Dentistry
  • Fort Atkinson, WI
National Provider Identifier
1508187758
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHOWALTER, INC
Doing business as
Rock River Dental
Practice address
1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139
Phone
(920) 563-4415
Fax
(920) 563-4476
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mr. Travis D Showalter
Title
President
Phone
(920) 563-4415

Specialties & licenses 1

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

Addresses

Primary practice location

1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139

Mailing address

1951 Commerce Pkwy
Fort Atkinson, WI 53538-3139
Phone (920) 563-4415

Other names 1

  • Rock River Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1951 Commerce Pkwy
Fort Atkinson, WI 53538
Phone (920) 563-4415

Practitioners & affiliated clinicians

Practitioners 5

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": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1508187758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 COMMERCE PKWY",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383139",
            "telephone_number": "920-563-4415",
            "fax_number": "920-563-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 COMMERCE PKWY",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383139",
            "telephone_number": "920-563-4415",
            "fax_number": "920-563-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOWALTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-563-4415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.