NPIMap

Organization Active NPI

Echo Ridge Dental Clinic

  • Dental Clinic/Center
  • Green Bay, WI
National Provider Identifier
1861848293
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1223G0001X Issued in WI
Legal business name
ECHO RIDGE DENTAL CLINIC
Practice address
2140 S Ridge Rd
Green Bay, WI 54304-4357
Phone
(920) 494-7464
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Raymond Schneider III, DDS
Title
Dentist/Owner
Phone
(920) 494-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1223G0001X WI Primary

Addresses

Primary practice location

2140 S Ridge Rd
Green Bay, WI 54304-4357

Mailing address

2140 S Ridge Rd
Green Bay, WI 54304-4357
Phone (920) 494-7464

National Provider Directory

National Provider Directory
Tax ID family
Echo Ridge Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1861848293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044357",
            "telephone_number": "920-494-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044357",
            "telephone_number": "920-494-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO RIDGE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER III",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "920-494-7464",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.