Organization Active NPI

Joseph a Guros

Doing business as Fort Dental Care, LLC

  • General Practice Dentistry
  • Fort Atkinson, WI
National Provider Identifier
1891178877
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001533-15 Issued in WI
Legal business name
JOSEPH A GUROS
Doing business as
Fort Dental Care, LLC
Practice address
501 McMillen St
Fort Atkinson, WI 53538-1202
Phone
(920) 563-6373
Fax
(920) 563-8796
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Joseph A Guros, DDSNPI 1467662395
Title
Owner
Phone
(920) 563-6373

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 5001533-15 WI Primary

Addresses

Primary practice location

501 McMillen St
Fort Atkinson, WI 53538-1202

Mailing address

501 McMillen St
Fort Atkinson, WI 53538-1202
Phone (920) 563-6373

Other names 1

  • FORT DENTAL CARE, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

501 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-6373

Practitioners & affiliated clinicians

Practitioners 1

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": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1891178877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381202",
            "telephone_number": "920-563-6373",
            "fax_number": "920-563-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381202",
            "telephone_number": "920-563-6373",
            "fax_number": "920-563-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A GUROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "GUROS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-563-6373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001533-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT DENTAL CARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.