Organization Active NPI

Oakwood Hills Family Dental LLC

  • General Practice Dentistry
  • Eau Claire, WI
National Provider Identifier
1578823530
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6278-015 Issued in WI
Legal business name
OAKWOOD HILLS FAMILY DENTAL LLC
Practice address
3119 Golf Rd
Suite 107
Eau Claire, WI 54701-7006
Phone
(715) 834-5882
Fax
(715) 834-1988
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Terrence L. Miskulin, DDS
Title
Dentist
Phone
(715) 834-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6278-015 WI Primary

Addresses

Primary practice location

3119 Golf Rd
Suite 107
Eau Claire, WI 54701-7006

Mailing address

3119 Golf Rd
Suite 107
Eau Claire, WI 54701-7006
Phone (715) 834-5882

National Provider Directory

National Provider Directory

Locations

3119 Golf Rd
Ste 107
Eau Claire, WI 54701
Phone (715) 514-2833

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1578823530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD",
            "address_2": "SUITE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017006",
            "telephone_number": "715-834-5882",
            "fax_number": "715-834-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD",
            "address_2": "SUITE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017006",
            "telephone_number": "715-834-5882",
            "fax_number": "715-834-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD HILLS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "MISKULIN",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "715-834-5882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6278-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.