NPIMap

Organization Active NPI

Tomah Family Dentistry LLC

  • General Practice Dentistry
  • Tomah, WI
National Provider Identifier
1558476184
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TOMAH FAMILY DENTISTRY LLC
Practice address
214 Larkin St
Tomah, WI 54660
Phone
(608) 372-3298
Fax
(608) 372-3128
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mr. James L Chitwood, DDSNPI 1538274162
Title
Member
Phone
(608) 372-3298

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

214 Larkin St
Tomah, WI 54660

Mailing address

PO Box 606
214 Larkin St
Tomah, WI 54660-0606
Phone (608) 372-3298

Other names 2

  • Chitwood Nicol & Matthews LLC Former legal business name
  • Chitwood Nicol & Matthews LLP Former legal business name

National Provider Directory

National Provider Directory

Locations

214 Larkin St
Tomah, WI 54660
Phone (608) 372-3298

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1558476184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "address_2": "214 LARKIN ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546600606",
            "telephone_number": "608-372-3298",
            "fax_number": "608-372-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LARKIN ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-3298",
            "fax_number": "608-372-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAH FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "CHITWOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-372-3298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Chitwood Nicol & Matthews LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Chitwood Nicol & Matthews LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Chitwood Nicol & Matthews LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.