Organization Active NPI

Whitewater Veterinary Hospital SC

  • Veterinarian
  • Whitewater, WI
National Provider Identifier
1568620995
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
116975-VC Issued in WI
Legal business name
WHITEWATER VETERINARY HOSPITAL SC
Practice address
527 S Janesville St
Whitewater, WI 53190-1719
Phone
(262) 473-2930
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Richard Halvorson, DVM
Title
Owner
Phone
(262) 473-2930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X 116975-VC WI Primary

Addresses

Primary practice location

527 S Janesville St
Whitewater, WI 53190-1719

Mailing address

527 S Janesville St
Whitewater, WI 53190-1719
Phone (262) 473-2930

National Provider Directory

National Provider Directory

Locations

527 S Janesville St
Whitewater, WI 53190
Phone (262) 473-2930

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1568620995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S JANESVILLE ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901719",
            "telephone_number": "262-473-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S JANESVILLE ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901719",
            "telephone_number": "262-473-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER VETERINARY HOSPITAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-473-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "WI",
            "license": "116975-VC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.