Organization Active NPI

Amherst Family Dental LLC

  • Dental Clinic/Center
  • Amherst, WI
National Provider Identifier
1689265076
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMHERST FAMILY DENTAL LLC
Practice address
172 Christy St
Amherst, WI 54406-9389
Phone
(715) 824-3300
NPI assigned
Jan 29, 2021
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Kayla Thorpe
Title
Practice Administrator
Phone
(920) 982-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

172 Christy St
Amherst, WI 54406-9389

Mailing address

172 Christy St
Amherst, WI 54406-9389
Phone (715) 824-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1689265076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CHRISTY ST",
            "city": "AMHERST",
            "state": "WI",
            "postal_code": "544069389",
            "telephone_number": "715-824-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CHRISTY ST",
            "city": "AMHERST",
            "state": "WI",
            "postal_code": "544069389",
            "telephone_number": "715-824-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHERST FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "920-982-3567"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.