Ralph H Horsens DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001466015 Issued in WI

Legal business name

RALPH H HORSENS DDS SC

Practice address

115 Alpine Court
Shawano, WI 54166-2511

Phone

(715) 524-4935

Fax

(715) 524-4943

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Lee Horsens, DDSNPI 1174640478

Title

President

Phone

(715) 524-4935

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Ralph Lee Horsens, DDS

  • General Practice Dentistry
  • Shawano, WI
  • NPI 1174640478
  Authorized official Same address or phone

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619094919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ALPINE COURT",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662511",
            "telephone_number": "715-524-4935",
            "fax_number": "715-524-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ALPINE COURT",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662511",
            "telephone_number": "715-524-4935",
            "fax_number": "715-524-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH H HORSENS DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORSENS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-524-4935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001466015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33352900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Marie Pierson
• Tracy Porath, BSW
• Alexander Anton Provost, D.C.
• Amber-Ann Alicia Quaintance, NP
• Kathleen Qualheim, MD
• Jean A Ranta, PT
• Tina Marie Ready, PTA
• Cortny A Rector, CRNA
• Renal Life Link Inc (Shawano Lake Dialysis)
• Marla D Rhoads-Etten, CSAC

• General Practice Dentistry in Shawano, WI
• Providers in Shawano, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.