Organization Active NPI

Ahp 007

Doing business as Live Life Smiling

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1831902394
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AHP 007
Doing business as
Live Life Smiling
Practice address
3913 W Prospect Ave Ste 101
Appleton, WI 54914-8797
Phone
(920) 202-3502
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Kate Mantay
Title
Director of Operations
Phone
(262) 649-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3913 W Prospect Ave Ste 101
Appleton, WI 54914-8797

Mailing address

15285 Watertown Plank Rd Ste 200
Elm Grove, WI 53122-2339
Phone (262) 649-4900

Other practice location 1

507 W Main St
Hilbert, WI 54129-9804
Phone (920) 853-3212

Other names 1

  • Live Life Smiling Doing business as

National Provider Directory

National Provider Directory

Locations

3913 W Prospect Ave
Ste 101
Appleton, WI 54914
Phone (920) 202-3502

507 W Main St
Hilbert, WI 54129
Phone (920) 853-3212

Practitioners & affiliated clinicians

Practitioners 3

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": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1831902394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15285 WATERTOWN PLANK RD STE 200",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222339",
            "telephone_number": "262-649-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 W PROSPECT AVE STE 101",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148797",
            "telephone_number": "920-202-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 W Main St",
            "address_purpose": "LOCATION",
            "city": "Hilbert",
            "state": "WI",
            "postal_code": "541299804",
            "country_code": "US",
            "telephone_number": "920-853-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AHP 007",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "MANTAY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "262-649-4900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Life Smiling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.