Organization Active NPI

Lawler Family Dentistry Hayward

  • General Practice Dentistry
  • Hayward, WI
National Provider Identifier
1689368698
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAWLER FAMILY DENTISTRY HAYWARD
Practice address
10541 N Ranch Rd
Hayward, WI 54843-6462
Phone
(715) 634-2011
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Sueane Christine Novack
Title
Front Office Manager
Phone
(715) 374-2856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10541 N Ranch Rd
Hayward, WI 54843-6462

Mailing address

PO Box 520
Lake Nebagamon, WI 54849-0520
Phone (715) 374-2856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1689368698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "LAKE NEBAGAMON",
            "state": "WI",
            "postal_code": "548490520",
            "telephone_number": "715-374-2856",
            "fax_number": "715-374-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10541 N RANCH RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436462",
            "telephone_number": "715-634-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWLER FAMILY DENTISTRY HAYWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "SUEANE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "FRONT OFFICE MANAGER",
        "authorized_official_telephone_number": "715-374-2856"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.