Organization Active NPI

Esser, Krueger & Borja DDS, SC

  • General Practice Dentistry
  • Beaver Dam, WI
National Provider Identifier
1801034236
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESSER, KRUEGER & BORJA DDS, SC
Practice address
205 S University Ave
Beaver Dam, WI 53916-2438
Phone
(920) 887-1292
Fax
(920) 887-2426
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Jean Esser, D.D.S.
Title
Partner
Phone
(920) 887-1292

Specialties & licenses 1

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

Addresses

Primary practice location

205 S University Ave
Beaver Dam, WI 53916-2438

Mailing address

205 S University Ave
Beaver Dam, WI 53916-2438
Phone (920) 887-1292

National Provider Directory

National Provider Directory
Tax ID family
Esser Krueger Borja DDS SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

205 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-4747

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1801034236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162438",
            "telephone_number": "920-887-1292",
            "fax_number": "920-887-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162438",
            "telephone_number": "920-887-1292",
            "fax_number": "920-887-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSER, KRUEGER & BORJA DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "ESSER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "920-887-1292",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.