Active NPI
Northpark Dental - Chippewa
- General Practice Dentistry
- Chippewa Falls, WI
National Provider Identifier
1508932815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NORTHPARK DENTAL - CHIPPEWA
- Practice address
- 235 W Prairie View Rd
Suite 1
Chippewa Falls, WI 54729-3639 - Phone
- (715) 720-9125
- Fax
- (715) 720-1475
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Genie Kuble
- Title
- Contact Officer
- Phone
- (920) 450-0157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
235 W Prairie View Rd
Suite 1
Chippewa Falls, WI 54729-3639
Mailing address
235 W Prairie View Rd
Suite 1
Chippewa Falls, WI 54729-3639
Phone (715) 720-9125
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chippewa Falls, WI
- NPI 1023184348
-
- General Practice Dentistry
- Chippewa Falls, WI
- NPI 1962244483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265587200000",
"number": "1508932815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W PRAIRIE VIEW RD",
"address_2": "SUITE 1",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293639",
"telephone_number": "715-720-9125",
"fax_number": "715-720-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W PRAIRIE VIEW RD",
"address_2": "SUITE 1",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293639",
"telephone_number": "715-720-9125",
"fax_number": "715-720-1475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPARK DENTAL - CHIPPEWA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2010-02-08",
"status": "A",
"authorized_official_last_name": "KUBLE",
"authorized_official_first_name": "GENIE",
"authorized_official_title_or_position": "CONTACT OFFICER",
"authorized_official_telephone_number": "920-450-0157"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.