Waupaca Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WAUPACA FAMILY DENTAL

Practice address

400 School St
Waupaca, WI 54981-1626

Phone

(715) 258-8200

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Kayla Thorpe

Title

Office Manager

Phone

(920) 982-3567

Specialties & licenses 1

Addresses

Other names 1

• Waupaca Family Dental Doing business as

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1689209306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SCHOOL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811626",
            "telephone_number": "715-258-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SCHOOL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811626",
            "telephone_number": "715-258-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUPACA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-982-3567"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waupaca Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Watson Counseling Services
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• Waupaca Area Ambulance, LTD.
• Waupaca Chiropractic Center, Inc
• Waupaca Chiropractic Center, Inc.
• Waupaca Hometown Pharmacy LLC
• Waupaca Wellness Center LLC
• Waupaca Woods Pharmacy Inc.
• Waupaca Woods Pharmacy, Inc.
• We Can Help Inc

• Dental Clinic/Center in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.