NPIMap

Organization Active NPI

Total Care Dental, S.C.

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1629154430
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TOTAL CARE DENTAL, S.C.
Practice address
6317 Odana Rd
Madison, WI 53719-1107
Phone
(608) 274-1911
Fax
(608) 274-1858
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Dr. Brett J ClarkNPI 1073699856
Title
Owner
Phone
(608) 274-1911

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 Primary

Addresses

Primary practice location

6317 Odana Rd
Madison, WI 53719-1107

Mailing address

6317 Odana Rd
Madison, WI 53719-1107
Phone (608) 274-1911

National Provider Directory

National Provider Directory

Locations

6317 Odana Rd
Madison, WI 53719
Phone (608) 274-1911

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1629154430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191107",
            "telephone_number": "608-274-1911",
            "fax_number": "608-274-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191107",
            "telephone_number": "608-274-1911",
            "fax_number": "608-274-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE DENTAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-274-1911",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.