Mennonite Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MENNONITE DENTAL CLINIC

Practice address

W8180 County Road X
Thorp, WI 54771-7512

Phone

(715) 669-3790

NPI assigned

May 22, 2012

Last updated

May 22, 2012By 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

Irvin Shirk

Title

Manager

Phone

(715) 669-3790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1790045904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8180 COUNTY ROAD X",
            "city": "THORP",
            "state": "WI",
            "postal_code": "547717512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8180 COUNTY ROAD X",
            "city": "THORP",
            "state": "WI",
            "postal_code": "547717512",
            "telephone_number": "715-669-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SHIRK",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-669-3790"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Claude Laflamme, D.D.S.
• Judith A Larson, PT
• Thomas E Looze, MD
• Ashley Lund, DC
• Marshfield Clinic (Marshfield Clinic Thorp Center)
• Myriah Rae Rau
• Vinay Sharma, MD
• Laurie K Thain, RN
• Thorp Area Ambulance District
• Thorp Dental Center, LLC (Thorp Dental Center)

• Dental Clinic/Center in Thorp, WI
• Providers in Thorp, 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 May 22, 2012; 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.