NPIMap

Organization Active NPI

Artisan Dental LLC

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1578985529
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5045 Issued in WI
Legal business name
ARTISAN DENTAL LLC
Practice address
10 N Livingston St
Suite 301
Madison, WI 53703-2326
Phone
(608) 467-8022
NPI assigned
Jan 10, 2014
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Nicole Andersen, DDSNPI 1063508216
Title
Manager
Phone
(608) 467-8022

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 5045 WI Primary

Addresses

Primary practice location

10 N Livingston St
Suite 301
Madison, WI 53703-2326

Mailing address

10 N Livingston St
Suite 301
Madison, WI 53703-2326
Phone (608) 467-8022

National Provider Directory

National Provider Directory

Locations

10 N Livingston St
Ste 301
Madison, WI 53703
Phone (608) 467-8022

Practitioners & affiliated clinicians

Practitioners 2

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": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1578985529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N LIVINGSTON ST",
            "address_2": "SUITE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032326",
            "telephone_number": "608-467-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N LIVINGSTON ST",
            "address_2": "SUITE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032326",
            "telephone_number": "608-467-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "608-467-8022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.