Organization Active NPI

Neal B O'Shaughnessy DDS LTD

  • General Practice Dentistry
  • Superior, WI
National Provider Identifier
1871679035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4337-015 Issued in WI
Legal business name
NEAL B O'SHAUGHNESSY DDS LTD
Practice address
1507 Tower Avenue
Suite 410
Superior, WI 54880-2532
Phone
(715) 392-6213
Fax
(715) 392-4631
NPI assigned
Oct 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neal Burton Oshavghnessy Jr., DDS
Title
President
Phone
(715) 392-6213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4337-015 WI Primary

Addresses

Primary practice location

1507 Tower Avenue
Suite 410
Superior, WI 54880-2532

Mailing address

1507 Tower Avenue
Suite 410
Superior, WI 54880-2532
Phone (715) 392-6213

National Provider Directory

National Provider Directory

Locations

1507 Tower Ave
Ste 410
Superior, WI 54880
Phone (715) 392-6213

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871679035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 TOWER AVENUE",
            "address_2": "SUITE 410",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802532",
            "telephone_number": "715-392-6213",
            "fax_number": "715-392-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 TOWER AVENUE",
            "address_2": "SUITE 410",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802532",
            "telephone_number": "715-392-6213",
            "fax_number": "715-392-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL B O'SHAUGHNESSY DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSHAVGHNESSY",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-392-6213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4337-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.