NPIMap

Organization Active NPI

Artistic Smiles Dentistry S.C.

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1871815035
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3704 Issued in WI
Legal business name
ARTISTIC SMILES DENTISTRY S.C.
Practice address
3825 E Calumet St
Suite 600
Appleton, WI 54915-4159
Phone
(920) 968-5000
Fax
(920) 968-5002
NPI assigned
Feb 15, 2010
Last updated
Feb 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Dr. Patricia Ann McConnell, D.D.S.NPI 1376548404
Title
President
Phone
(920) 968-5000

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
General Practice Dentistry 1223G0001X 3704 WI Primary

Addresses

Primary practice location

3825 E Calumet St
Suite 600
Appleton, WI 54915-4159

Mailing address

3825 E Calumet St
Suite 600
Appleton, WI 54915-4159
Phone (920) 968-5000

National Provider Directory

National Provider Directory

Locations

3825 E Calumet St
Ste 600
Appleton, WI 54915
Phone (920) 494-2121

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": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1871815035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 E CALUMET ST",
            "address_2": "SUITE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154159",
            "telephone_number": "920-968-5000",
            "fax_number": "920-968-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 E CALUMET ST",
            "address_2": "SUITE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154159",
            "telephone_number": "920-968-5000",
            "fax_number": "920-968-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC SMILES DENTISTRY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-968-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.