NPIMap

Organization Active NPI

Oakpark Dental - Eau Claire

  • General Practice Dentistry
  • Eau Claire, WI
National Provider Identifier
1699837138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OAKPARK DENTAL - EAU CLAIRE
Practice address
4605 Royal Dr
Eau Claire, WI 54701-2928
Phone
(715) 855-9220
Fax
(715) 855-9225
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Genie Kuble
Title
Contact Officer
Phone
(920) 450-0157

Specialties & licenses 1

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

Addresses

Primary practice location

4605 Royal Dr
Eau Claire, WI 54701-2928

Mailing address

4605 Royal Dr
Eau Claire, WI 54701-2928
Phone (715) 855-9220

National Provider Directory

National Provider Directory

Locations

4605 Royal Dr
Eau Claire, WI 54701
Phone (715) 855-9220

Practitioners & affiliated clinicians

Practitioners 6

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699837138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 ROYAL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012928",
            "telephone_number": "715-855-9220",
            "fax_number": "715-855-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 ROYAL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012928",
            "telephone_number": "715-855-9220",
            "fax_number": "715-855-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKPARK DENTAL - EAU CLAIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBLE",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "CONTACT OFFICER",
        "authorized_official_telephone_number": "920-450-0157"
    },
    "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 Eau Claire, 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.

Verify at the official NPI Registry.