NPIMap

Organization Active NPI

Stanley Hometown Dentistry

  • Dental Clinic/Center
  • Stanley, WI
National Provider Identifier
1861865644
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6399015 Issued in WI
Legal business name
STANLEY HOMETOWN DENTISTRY
Practice address
120 W 4TH Ave
Stanley, WI 54768-1002
Phone
(715) 644-3601
Fax
(715) 644-3687
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. James Gunelson, DDSNPI 1861621161
Title
Owner
Phone
(715) 644-3601

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 Clinic/Center 261QD0000X 6399015 WI Primary

Addresses

Primary practice location

120 W 4TH Ave
Stanley, WI 54768-1002

Mailing address

120 W 4TH Ave
Stanley, WI 54768-1002
Phone (715) 644-3601

National Provider Directory

National Provider Directory

Locations

120 W 4th Ave
Stanley, WI 54768
Phone (715) 644-3601

Practitioners & affiliated clinicians

Practitioners 2

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": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1861865644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 4TH AVE",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681002",
            "telephone_number": "715-644-3601",
            "fax_number": "715-644-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 4TH AVE",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681002",
            "telephone_number": "715-644-3601",
            "fax_number": "715-644-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY HOMETOWN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "GUNELSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-644-3601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6399015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.