NPIMap

Organization Active NPI

Hudson Dental

  • Dental Clinic/Center
  • Hudson, WI
National Provider Identifier
1679610489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4004 Issued in WI
Legal business name
HUDSON DENTAL
Practice address
2215 Vine St
Suite D
Hudson, WI 54016-5802
Phone
(715) 386-9119
Fax
(715) 386-0303
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tom Olaf Kloster, D.D.S.NPI 1295091171
Title
Pres.
Phone
(715) 386-9119

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
Dental Clinic/Center 261QD0000X 4004 WI Primary

Addresses

Primary practice location

2215 Vine St
Suite D
Hudson, WI 54016-5802

Mailing address

2215 Vine St
Suite D
Hudson, WI 54016-5802
Phone (715) 386-9119

National Provider Directory

National Provider Directory

Locations

2215 Vine St
Ste D
Hudson, WI 54016
Phone (715) 386-9119

Practitioners & affiliated clinicians

Practitioners 1

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679610489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 VINE ST",
            "address_2": "SUITE D",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165802",
            "telephone_number": "715-386-9119",
            "fax_number": "715-386-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 VINE ST",
            "address_2": "SUITE D",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165802",
            "telephone_number": "715-386-9119",
            "fax_number": "715-386-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOSTER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "OLAF",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "715-386-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "4004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • 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.