Awdm, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AWDM, LLC

Practice address

4113 Rib Mountain Drive
Wausau, WI 54401

Phone

(715) 359-6060

NPI assigned

Oct 17, 2008

Last updated

Oct 17, 2008By 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

Robert Fontana

Title

President

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

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.

• Sirisha Gogineni, DDS

  • General Practice Dentistry
  • Mahomet, IL
  • NPI 1194009142
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1629220983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 RIB MOUNTAIN DRIVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-359-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWDM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David K Aughenbaugh, MD
• Kori Auner, LPN
• Bryan Kincaid Austin, MD, MS
• Rachel Marie Ave'Lallemant, PHYSICAL THERAPIST
• Victoria L Avila-Hughes, RN
• Tiffany Ayer, PTA
• Joseph W Babiarz, M.D.
• Miranda Tina Martha Babl, LPC
• Debra Jean Backes, R.D.H.
• Tonia Yvette Backman, LCSW

• General Practice Dentistry in Wausau, WI
• Providers in Wausau, 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 Oct 17, 2008; 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.