NPIMap

Organization Active NPI

Southwestern Wisconsin Community Action Program

Doing business as Dental Hygiene Services and Dental Referral

  • Public Health or Welfare Agency
  • Platteville, WI
National Provider Identifier
1891937090
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
4521016 Issued in WI
Legal business name
SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM
Doing business as
Dental Hygiene Services and Dental Referral
Practice address
275 W Main St
Platteville, WI 53818-3110
Phone
(608) 348-9766
Fax
(608) 348-3915
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Walter Orzechowski, MSPH, MBA
Title
Executive Director
Phone
(608) 935-2326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 4521016 WI Primary
Public Health or Welfare Agency 251K00000X 139651030 WI

Addresses

Primary practice location

275 W Main St
Platteville, WI 53818-3110

Mailing address

275 W Main St
Platteville, WI 53818-3110
Phone (608) 348-9766

Other identifiers 1

IdentifierTypeStateIssuer
1538311048MedicaidWI

Other names 1

  • Dental Hygiene Services and Dental Referral Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Wisconsin Community Action Program4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

275 W Main St
Platteville, WI 53818
Phone (608) 348-9766

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1891937090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W MAIN ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183110",
            "telephone_number": "608-348-9766",
            "fax_number": "608-348-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W MAIN ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183110",
            "telephone_number": "608-348-9766",
            "fax_number": "608-348-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "ORZECHOWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-935-2326",
        "authorized_official_credential": "MSPH, MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "4521016",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "139651030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538311048",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Hygiene Services and Dental Referral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.