Active NPI
Noel Bernard Lapp, DDS/MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Green Bay, WI
National Provider Identifier
1598878944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 97008
- Practice address
- 430 Main St
Green Bay, WI 54301-5115 - Phone
- (920) 431-1728
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 97008 | WI | Primary |
Addresses
Primary practice location
430 Main St
Green Bay, WI 54301-5115
Mailing address
5957 Timber Haven Dr
Little Suamico, WI 54141-8660
Phone (920) 826-6083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97008 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1598878944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5957 TIMBER HAVEN DR",
"city": "LITTLE SUAMICO",
"state": "WI",
"postal_code": "541418660",
"telephone_number": "920-826-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MAIN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543015115",
"telephone_number": "920-431-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPP",
"first_name": "NOEL",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "DDS/MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "97008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.