Active NPI
Robert Joseph Saphner, DDS
- Dentist
- Holmen, WI
National Provider Identifier
1669030805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1002053-15
- Practice address
- 601 McHugh Rd
Holmen, WI 54636-9579 - Phone
- (608) 526-9300
- NPI assigned
- Jun 3, 2019
- Last updated
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1002053-15 | WI | Primary |
Addresses
Primary practice location
601 McHugh Rd
Holmen, WI 54636-9579
Mailing address
3143 State Rd
La Crosse, WI 54601-6964
Phone (608) 788-0030
Other practice location 1
3143 State Rd
LA Crosse, WI 54601-6964
Phone (608) 788-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002053-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Town Dental, LLC | Dentist | Past | Accepting new patients |
| River Town Dental, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1669030805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 STATE RD",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546016964",
"telephone_number": "608-788-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MCHUGH RD",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546369579",
"telephone_number": "608-526-9300"
}
],
"practiceLocations": [
{
"address_1": "3143 State Rd",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546016964",
"country_code": "US",
"telephone_number": "608-788-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAPHNER",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1002053-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.