Dann Norbert Pynenberg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4142 Issued in WI

Practice address

607 Wilson Street
Little Chute, WI 54140

Phone

(920) 788-3542

Fax

(920) 788-6741

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841335536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WILSON STREET",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "54140",
            "telephone_number": "920-788-3542",
            "fax_number": "920-788-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WILSON STREET",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "54140",
            "telephone_number": "920-788-3542",
            "fax_number": "920-788-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNENBERG",
        "first_name": "DANN",
        "middle_name": "NORBERT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NSH Little Chute LLC (Little Chute Health Services)
• Nuwave Counseling LLC
• Optometric Services, S.C.
• Parkside Care Center LLC (D/B/a Atrium Post Acute Care of Little Chute)
• Jessica L Peterson, MD
• Riverside Dental Care LLC
• John E Salisbury, O.D.
• Matthew James Scheske, D.D.S.
• Spencer Schultz, PHARMD
• Nicholas L Smith, PHARMD

• Dentist in Little Chute, WI
• Providers in Little Chute, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.