Organization Active NPI

Cuba City Family Dental LLC

  • Dental Clinic/Center
  • Cuba City, WI
National Provider Identifier
1891575882
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CUBA CITY FAMILY DENTAL LLC
Practice address
206 S Jackson St
Cuba City, WI 53807-1147
Phone
(608) 744-2111
Fax
(608) 744-2112
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Matthew AndrewsNPI 1942463286
Title
Sole Owner
Phone
(608) 744-2111

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 Primary

Addresses

Primary practice location

206 S Jackson St
Cuba City, WI 53807-1147

Mailing address

206 S Jackson St
Cuba City, WI 53807-1147
Phone (608) 744-2111

Other practice location 1

133 Performance Dr
Darlington, WI 53530-9393
Phone (608) 776-2443

Other practice location 2

3695 Prism Ln
Kieler, WI 53812-9118
Phone (608) 568-3039

National Provider Directory

National Provider Directory

Locations

206 S Jackson St
Cuba City, WI 53807
Phone (608) 744-2111

Practitioners & affiliated clinicians

Practitioners 6

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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1891575882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S JACKSON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071147",
            "telephone_number": "608-744-2111",
            "fax_number": "608-744-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S JACKSON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071147",
            "telephone_number": "608-744-2111",
            "fax_number": "608-744-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Performance Dr",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "WI",
            "postal_code": "535309393",
            "country_code": "US",
            "telephone_number": "608-776-2443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3695 Prism Ln",
            "address_purpose": "LOCATION",
            "city": "Kieler",
            "state": "WI",
            "postal_code": "538129118",
            "country_code": "US",
            "telephone_number": "608-568-3039",
            "fax_number": "608-568-3147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUBA CITY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "608-744-2111"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.