Organization Active NPI

Dental Options, LLC

  • General Practice Dentistry
  • Wausau, WI
National Provider Identifier
1558873406
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL OPTIONS, LLC
Practice address
2600 Stewart Ave Ste 158
Wausau, WI 54401-1404
Phone
(715) 842-5691
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Andrew Ziegler
Title
Financial Controller
Phone
(608) 817-3252

Specialties & licenses 1

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

Addresses

Primary practice location

2600 Stewart Ave Ste 158
Wausau, WI 54401-1404

Mailing address

2606 Stewart Ave Ste 102
Wausau, WI 54401-5450
Phone (715) 842-5691

National Provider Directory

National Provider Directory

Locations

2600 Stewart Ave
Ste 158
Wausau, WI 54401
Phone (715) 842-5691

Practitioners & affiliated clinicians

Practitioners 1

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": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1558873406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 STEWART AVE STE 102",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015450",
            "telephone_number": "715-842-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE STE 158",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011404",
            "telephone_number": "715-842-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "608-817-3252"
    },
    "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 Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.