Organization Active NPI

Orthodontic Specialists of Onalaska and the Coulee Region

Doing business as Kujak Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Onalaska, WI
National Provider Identifier
1811498561
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6949 Issued in WI
Legal business name
ORTHODONTIC SPECIALISTS OF ONALASKA AND THE COULEE REGION
Doing business as
Kujak Orthodontics
Practice address
2747 National Dr
Onalaska, WI 54650-8784
Phone
(608) 783-8333
NPI assigned
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
David Kujak, DMD, MSNPI 1902056872
Title
Orthodontist/Owner
Phone
(608) 783-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6949 WI Primary

Addresses

Primary practice location

2747 National Dr
Onalaska, WI 54650-8784

Mailing address

2747 National Dr
Onalaska, WI 54650-8784

Other names 1

  • Kujak Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2747 National Dr
Onalaska, WI 54650
Phone (608) 783-8333

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1811498561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 NATIONAL DR",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 NATIONAL DR",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508784",
            "telephone_number": "608-783-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF ONALASKA AND THE COULEE REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "KUJAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "608-783-8333",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "6949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kujak Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.