Hospital Dentistry for Kids Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HOSPITAL DENTISTRY FOR KIDS INC.

Practice address

4980 S County Rd T
Denmark, WI 54208

Phone

(920) 664-2424

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clint Rau, DDSNPI 1477639334

Title

President of the Board

Phone

(920) 664-2424

Specialties & licenses 2

Addresses

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.

• Clint E Rau, D.D.S.

  • Pediatric Dentistry
  • Manitowoc, WI
  • NPI 1477639334
  NPD Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1710509484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "DENMARK",
            "state": "WI",
            "postal_code": "542080560",
            "telephone_number": "920-664-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 S COUNTY RD T",
            "city": "DENMARK",
            "state": "WI",
            "postal_code": "54208",
            "telephone_number": "920-664-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DENTISTRY FOR KIDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD",
        "authorized_official_telephone_number": "920-664-2424",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denmark Senior Living, Inc. (Scandinavian Court Assisted Living)
• Cari L Duffy-Sebero, N.P.
• Timothy E Hazard, FNP
• Jane Marie Hertel, OTR
• Deborah Ann Hoffman, NP
• Dana Marie Hunter, BA
• Jennifer Anne Johnson, R.N.
• Amber Kapinos, BSN, RN
• Jeanne Ann Kelley, RN
• Sheila Marie Kittell, D.D.S.

• Dentist in Denmark, WI
• Providers in Denmark, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.