Just 4 Kidds Dentistry for Children, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUST 4 KIDDS DENTISTRY FOR CHILDREN, LLC

Practice address

1720 Congress Ave
Oshkosh, WI 54901-7701

Phone

(920) 500-8500

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Nathan Knutsen, DDS

Title

Owner

Phone

(920) 500-8500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1720810666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CONGRESS AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549017701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CONGRESS AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549017701",
            "telephone_number": "920-500-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDDS DENTISTRY FOR CHILDREN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "KNUTSEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-500-8500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Walter Jones Jr., M.D.
• Shanequa Jones
• Nathan Jore, RPH
• Sarah Ann Jorgenson O'Neil
• James Lee Jungenberg, D.C.
• Vaibhav Kadakia, PHARMD
• Karen Jeanne Kaempffe, PT
• Jill Kahler
• Daniel J Kaiser, MD
• Gurjeet Singh Kaleka, MD

• Dental Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.