CJS Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CJS DENTAL CARE LLC

Doing business as

Ledgeview Dental Care

Practice address

2225 Kaftan Way
De Pere, WI 54115-4052

Phone

(920) 983-3800

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By 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

Cole StockheimerNPI 1992089866

Title

Owner

Phone

(920) 819-1714

Specialties & licenses 1

Addresses

Other names 1

• Ledgeview Dental Care Doing business as

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.

• Cole Joseph Stockheimer, DDS

  • Dentist
  • De Pere, WI
  • NPI 1992089866
  NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1780411215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 KAFTAN WAY",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154052",
            "telephone_number": "920-983-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 KAFTAN WAY",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154052",
            "telephone_number": "920-983-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "STOCKHEIMER",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-819-1714"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ledgeview Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Children's Dental Clinic of Green Bay, S.C.
• Rand Chubin
• Rose M Cipres-Jaucian, MD
• City of de Pere
• City of de Pere (City of De Pere Ambulance Service)
• Amanda Rae Clark, LCSW
• Tara Marie Cleereman, PTA
• CMWL (Medi Weight Loss Depere)
• Morgan Coble, LPC-IT
• Christina Codner, MSW, CAPSW

• Dental Clinic/Center in De Pere, WI
• Providers in De Pere, 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 Sep 18, 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.