Active NPI
Neider & Knoell Dental S.C.
- General Practice Dentistry
- Racine, WI
National Provider Identifier
1689635203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5000934
- Legal business name
- NEIDER & KNOELL DENTAL S.C.
- Practice address
- 5707 Byrd Ave
Racine, WI 53406-4746 - Phone
- (262) 637-7276
- Fax
- (262) 637-7633
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy A Wilson
- Title
- Office Manager
- Phone
- (262) 637-7276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5000934 | WI | Primary |
Addresses
Primary practice location
5707 Byrd Ave
Racine, WI 53406-4746
Mailing address
5707 Byrd Ave
Racine, WI 53406-4746
Phone (262) 637-7276
National Provider Directory
National Provider DirectoryLocations
5707 Byrd Ave
Racine, WI 53406
Phone (262) 637-7276
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Racine, WI
- NPI 1942387642
-
- General Practice Dentistry
- Racine, WI
- NPI 1902983505
-
- General Practice Dentistry
- Racine, WI
- NPI 1548349483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689635203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 BYRD AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534064746",
"telephone_number": "262-637-7276",
"fax_number": "262-637-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 BYRD AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534064746",
"telephone_number": "262-637-7276",
"fax_number": "262-637-7633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIDER & KNOELL DENTAL S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "262-637-7276",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5000934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.