Ostertag Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3726-015 Issued in WI

Legal business name

OSTERTAG ORTHODONTICS, LLC

Practice address

4907 Keystone Xing
Suite a
Eau Claire, WI 54701-5144

Phone

(715) 855-5051

Fax

(715) 855-5052

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Alan Ostertag, DDS, MSNPI 1972604205

Title

Owner

Phone

(715) 255-5051

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan James Ostertag, DDS,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eau Claire, WI
  • NPI 1972604205
  NPD (past) Authorized official

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1679800239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 KEYSTONE XING",
            "address_2": "SUITE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015144",
            "telephone_number": "715-855-5051",
            "fax_number": "715-855-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 KEYSTONE XING",
            "address_2": "SUITE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015144",
            "telephone_number": "715-855-5051",
            "fax_number": "715-855-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTERTAG ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "OSTERTAG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-255-5051",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3726-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Jonathan Osborne, MD
• Ifeoluwa Osewa, M.D., M.P.H
• Lani Osicka
• Ashley Marie Osteen, APSW
• Karen Ostenso, RD CDE
• Alan James Ostertag, DDS,M.S.
• Jennifer Lee Ostrowski, LPC
• Jessica Lynn Ostrowski
• Richard Oswald Jr., LPC
• Margaret Ann Ott, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.