Organization Active NPI

Ace Dental LLC

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1689449597
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ACE DENTAL LLC
Practice address
5510 Medical Cir
Madison, WI 53719-1239
Phone
(608) 274-5510
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Kevin Greene, DDSNPI 1093102055
Title
Owner Dentist
Phone
(608) 274-5510

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5510 Medical Cir
Madison, WI 53719-1239

Mailing address

5510 Medical Cir
Madison, WI 53719-1239
Phone (608) 274-5510

National Provider Directory

National Provider Directory

Locations

5510 Medical Cir
Madison, WI 53719
Phone (608) 273-4274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1689449597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191239",
            "telephone_number": "608-274-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191239",
            "telephone_number": "608-274-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "608-274-5510",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.