NPIMap

Organization Active NPI

Grand View Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1598889222
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAND VIEW FAMILY AND COSMETIC DENTISTRY
Practice address
381 S Kools St
Appleton, WI 54914-3932
Phone
(920) 996-0123
Fax
(920) 735-0123
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Emily Bennett
Title
Office Manager
Phone
(920) 996-0123

Specialties & licenses 1

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

Addresses

Primary practice location

381 S Kools St
Appleton, WI 54914-3932

Mailing address

381 S Kools St
Appleton, WI 54914
Phone (920) 996-0123

National Provider Directory

National Provider Directory
Tax ID family
Barnes Associates Dentistry SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

381 S Kools St
Appleton, WI 54914
Phone (920) 996-0123

Practitioners & affiliated clinicians

Practitioners 4

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1598889222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 S KOOLS ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54914",
            "telephone_number": "920-996-0123",
            "fax_number": "920-735-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S KOOLS ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143932",
            "telephone_number": "920-996-0123",
            "fax_number": "920-735-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VIEW FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-996-0123"
    },
    "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 Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.