MDC Oshkosh II, L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MDC OSHKOSH II, L.L.C.

Doing business as

Dental Design Studio

Practice address

1795 W Pointe Dr
Oshkosh, WI 54902-4297

Phone

(920) 235-6453

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Bernard Joseph Bolka IV, CPA

Title

Cfo

Phone

(920) 579-3188

Specialties & licenses 1

Addresses

Other names 1

• Dental Design Studio Doing business as

Electronic endpoints 1

Practitioners 3

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

• Andreas Juerg Baltzly, DDS

  • Dentist
  • Massillon, OH
  • NPI 1275010654
  NPD
• Michael Gerard Bell, D.D.S.

  • General Practice Dentistry
  • Oshkosh, WI
  • NPI 1174642383
  NPD (past)
• Kurt A Walejko, D.D.S.

  • Dentist
  • Oshkosh, WI
  • NPI 1821378803
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1841845674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1658",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549361658",
            "telephone_number": "920-579-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 W POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024297",
            "telephone_number": "920-235-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC OSHKOSH II, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BOLKA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-579-3188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CPUs",
            "affiliation": "N",
            "address_1": "1795 W Pointe Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549024297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Design Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy McGilligan, DPT
• Candy A McGinnis, AU.D.
• Laura D McGuire, APN
• Jeffrey R. McLaughlin, M.D.
• MD Vision SC
• MDC Oshkosh, S.C.
• Sue Ann Meadows, RN
• Marcia M Meagher, PA
• Alexander D Means, M.D.
• Rebecca Meck, SLP

• Dental Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.