Organization Active NPI

Angela K Fitzpatrick RDH LLC

  • Dental Hygienist
  • Kenosha, WI
National Provider Identifier
1841623451
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
9800-16 Issued in WI
Legal business name
ANGELA K FITZPATRICK RDH LLC
Practice address
6831 53Rd St Unit 146
Kenosha, WI 53144-3770
Phone
(262) 818-1874
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Angela K Fitzpatrick, RDHNPI 1801229570
Title
Dental Hygienist
Phone
(262) 818-1874

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
Dental Hygienist 124Q00000X 9800-16 WI Primary

Addresses

Primary practice location

6831 53Rd St Unit 146
Kenosha, WI 53144-3770

Mailing address

6831 53Rd St Unit 146
Kenosha, WI 53144-3770
Phone (262) 818-1874

National Provider Directory

National Provider Directory

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": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1841623451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 53RD ST UNIT 146",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443770",
            "telephone_number": "262-818-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 53RD ST UNIT 146",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443770",
            "telephone_number": "262-818-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA K FITZPATRICK RDH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "262-818-1874",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "9800-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.