Organization Active NPI

New Richmond Kidds Pediatric Dentistry LLC

  • Pediatric Dentistry
  • New Richmond, WI
National Provider Identifier
1508478454
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NEW RICHMOND KIDDS PEDIATRIC DENTISTRY LLC
Practice address
1244 N 4TH St Ste 300
New Richmond, WI 54017-7540
Phone
(715) 248-2246
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Dr. Darcy Rindelaub, DDSNPI 1639126683
Title
DDS
Phone
(651) 324-4270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1244 N 4TH St Ste 300
New Richmond, WI 54017-7540

Mailing address

1244 N 4TH St Ste 300
New Richmond, WI 54017-7540
Phone (715) 248-2246

National Provider Directory

National Provider Directory

Locations

1244 N 4th St
Ste 300
New Richmond, WI 54017
Phone (715) 248-2246

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": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1508478454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N 4TH ST STE 300",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540177540",
            "telephone_number": "715-248-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N 4TH ST STE 300",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540177540",
            "telephone_number": "715-248-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RICHMOND KIDDS PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "RINDELAUB",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "651-324-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.