NPIMap

Organization Active NPI

Daniel R Santarelli DDS. SC

Doing business as Santarelli Dental SC

  • General Practice Dentistry
  • Kenosha, WI
National Provider Identifier
1750461745
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL R SANTARELLI DDS. SC
Doing business as
Santarelli Dental SC
Practice address
624 75TH St
Kenosha, WI 53143-6025
Phone
(262) 654-4340
Fax
(262) 654-4530
NPI assigned
Oct 16, 2006
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
DANIEL R SANTARELLI DDS. SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Daniel R Santarelli, DDSNPI 1346320314
Title
President
Phone
(262) 654-4340

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

624 75TH St
Kenosha, WI 53143-6025

Mailing address

624 75TH St
Kenosha, WI 53143-6025
Phone (262) 654-4340

Other names 1

  • Santarelli Dental SC Doing business as

National Provider Directory

National Provider Directory

Locations

624 75th St
Kenosha, WI 53143
Phone (262) 654-4340

Practitioners & affiliated clinicians

Practitioners 3

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1750461745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436025",
            "telephone_number": "262-654-4340",
            "fax_number": "262-654-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436025",
            "telephone_number": "262-654-4340",
            "fax_number": "262-654-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R SANTARELLI DDS. SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL R SANTARELLI DDS. SC",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "SANTARELLI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-654-4340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santarelli Dental SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.