Active NPI
Great Day Dental LLC
- Dental Clinic/Center
- Monona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 6337
- Legal business name
- GREAT DAY DENTAL LLC
- Practice address
- 1532 W Broadway Ste 101
Monona, WI 53713-1827 - Phone
- (608) 221-3326
- Fax
- (608) 221-9726
- NPI assigned
- Oct 27, 2017
- Last updated
- Jul 12, 2023
- 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
- Dr. Jessica Kiecker, DMD
- Title
- Owner
- Phone
- (608) 221-3326
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 6337 | WI | Primary |
Addresses
Primary practice location
1532 W Broadway Ste 101
Monona, WI 53713-1827
Mailing address
1532 W Broadway Ste 101
Monona, WI 53713-1827
Phone (608) 221-3326
National Provider Directory
National Provider Directory- Tax ID family
- Great Day Dental LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1532 W Broadway
Ste 101
Monona, WI 53713
Phone (608) 221-3326
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
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.
-
- Dentist
- Monona, WI
- NPI 1306084553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1740792969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 W BROADWAY STE 101",
"city": "MONONA",
"state": "WI",
"postal_code": "537131827",
"telephone_number": "608-221-3326",
"fax_number": "608-221-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 W BROADWAY STE 101",
"city": "MONONA",
"state": "WI",
"postal_code": "537131827",
"telephone_number": "608-221-3326",
"fax_number": "608-221-9726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT DAY DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-27",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "KIECKER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-221-3326",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WI",
"license": "6337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.