NPIMap

Organization Active NPI

Frederick C. Prehn Sole Prop

  • General Practice Dentistry
  • Wausau, WI
National Provider Identifier
1770660946
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2930015 Issued in WI
Legal business name
FREDERICK C. PREHN SOLE PROP
Practice address
413 Jefferson Street
Wausau, WI 54403
Phone
(715) 842-1270
Fax
(715) 848-2906
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. Frederick Carl Prehn, DDS
Title
Owner of Prehen Dental Office
Phone
(715) 842-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2930015 WI Primary

Addresses

Primary practice location

413 Jefferson Street
Wausau, WI 54403

Mailing address

413 Jefferson Street
Wausau, WI 54403
Phone (715) 842-1270

Other names 1

  • Prehn Dental Office, LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1770660946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 JEFFERSON STREET",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-842-1270",
            "fax_number": "715-848-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 JEFFERSON STREET",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-842-1270",
            "fax_number": "715-848-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK C. PREHN SOLE PROP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "PREHN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER OF PREHEN DENTAL OFFICE",
        "authorized_official_telephone_number": "715-842-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2930015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prehn Dental Office, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.