Organization Active NPI

Isthmus Dental, LTD

  • Dentist
  • Madison, WI
National Provider Identifier
1609944644
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5551 Issued in WI
Legal business name
ISTHMUS DENTAL, LTD
Practice address
122 E Johnson St
Madison, WI 53703-2120
Phone
(608) 257-0116
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Julie Thies
Title
Business Manager
Phone
(608) 257-0116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2469 WI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5551 WI Primary

Addresses

Primary practice location

122 E Johnson St
Madison, WI 53703-2120

Mailing address

122 E Johnson St
Madison, WI 53703-2120
Phone (608) 257-0116

National Provider Directory

National Provider Directory

Locations

122 E Johnson St
Madison, WI 53703
Phone (608) 257-0116

Practitioners & affiliated clinicians

Practitioners 3

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1609944644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E JOHNSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032120",
            "telephone_number": "608-257-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E JOHNSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032120",
            "telephone_number": "608-257-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISTHMUS DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "THIES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-257-0116"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "2469",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "5551",
            "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 Aug 16, 2021; 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.