Northridge Dental Center S.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5001515-015 Issued in WI

Legal business name

NORTHRIDGE DENTAL CENTER S.C.

Practice address

7906 N 76TH St
Milwaukee, WI 53223-3916

Phone

(414) 354-9020

NPI assigned

Jun 17, 2005

Last updated

Aug 22, 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

Dr. John A Fitch, D.D.S.NPI 1730212846

Title

President

Phone

(414) 354-9020

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• John A. Fitch, D.D.S.

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1730212846
  NPD (past) Authorized official
• Rachel Cook, DMD

  • Dentist
  • Milwaukee, WI
  • NPI 1083226609
  NPD (past)
• Sarah Archana Martin, DDS

  • Dentist
  • Dodgeville, WI
  • NPI 1780664649
  NPD (past)
• Eric P Tesch, D.D.S.

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1457484552
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730184557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 W APPLE TREE RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093311",
            "telephone_number": "414-352-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233916",
            "telephone_number": "414-354-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE DENTAL CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-354-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5001515-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula E North, MD
• Northern Crossing Behavioral Health Services, LLC
• Northern Crossing Behavioral Health Services, LLC
• Northern Home Care Group SC
• Northern Medical Equipment & Supplies LLC
• Northside Family Resources LLC
• Northtown Dental Group S.C.
• Sara Northway, M.D.
• Northwest Surgery Center Inc
• Anita Marie Norton, CPNP-PC

• Dental Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, 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 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.