Johnson & Valenta Family Dentistry SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5537 Issued in WI

Legal business name

JOHNSON & VALENTA FAMILY DENTISTRY SC

Practice address

1838 Dunlap Ave
Marinette, WI 54143-1722

Phone

(715) 735-5626

Fax

(715) 735-3283

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Randal L Valenta, DDSNPI 1215059845

Title

President

Phone

(715) 735-5626

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Randal Lee Valenta, DDS

  • General Practice Dentistry
  • Marinette, WI
  • NPI 1215059845
  NPD (past) Authorized official
• Brian M Johnson, D.D.S. S.C.

  • General Practice Dentistry
  • Marinette, WI
  • NPI 1831241538
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257033600000",
    "number": "1861728339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "address_2": "1838 DUNLAP AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541430480",
            "telephone_number": "715-735-5626",
            "fax_number": "715-735-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 DUNLAP AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431722",
            "telephone_number": "715-735-5626",
            "fax_number": "715-735-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & VALENTA FAMILY DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-11-01",
        "status": "A",
        "authorized_official_last_name": "VALENTA",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-735-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanique Nastassja Jarrett, D.O.
• Jeanne Dixon Counseling Services
• Jordan Jensen
• JMK Sales LLC
• John P Briody MD SC
• Brian M Johnson, D.D.S. S.C.
• Karen Sue Johnson, LMT
• Dan Johnston
• Jacqueline Joan Johnston, 112561-30
• Ashley Jones, FNP-C

• General Practice Dentistry in Marinette, WI
• Providers in Marinette, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.