Neighborhood Smiles of Oconomowoc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEIGHBORHOOD SMILES OF OCONOMOWOC

Practice address

784 Summit Ave
Oconomowoc, WI 53066-3838

Phone

(509) 953-5631

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Patti Sooy

Title

Owner

Phone

(509) 953-5631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1639455751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19408 W WILLIAMS LAKE RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663838",
            "telephone_number": "509-953-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD SMILES OF OCONOMOWOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "SOOY",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-953-5631"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Mynatt, R.PH.
• Jean Marie Nagro, PTA
• Carrie A Narkis, MD
• Ann C. Neeb, LCSW
• Lyle Norbert Neeb, LCSW
• Richard Ervin Neils, MD
• Anne-Marie E Nelson
• Mason Nelson
• Lynne Nevers-Hoeft, APNP
• Katelyn Elaine Nielsen, DC

• General Practice Dentistry in Oconomowoc, WI
• Providers in Oconomowoc, 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 Nov 2, 2011; 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.