NPIMap

Organization Active NPI

The Arc of Fond Du Lac

  • Developmentally Disabled Services Day Training Agency
  • Fond Du Lac, WI
National Provider Identifier
1801029780
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE ARC OF FOND DU LAC
Practice address
500 N Park Ave
Fond Du Lac, WI 54935-1943
Phone
(920) 923-3810
Fax
(920) 923-3038
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
David A Bolter
Title
Executive Director
Phone
(920) 923-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X WI Primary

Addresses

Primary practice location

500 N Park Ave
Fond Du Lac, WI 54935-1943

Mailing address

500 N Park Ave
Fond Du Lac, WI 54935-1943
Phone (920) 923-3810

National Provider Directory

National Provider Directory
Tax ID family
Associated Pediatric Therapists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1801029780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N PARK AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549351943",
            "telephone_number": "920-923-3810",
            "fax_number": "920-923-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N PARK AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549351943",
            "telephone_number": "920-923-3810",
            "fax_number": "920-923-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF FOND DU LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "BOLTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-923-3810"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.