Organization Active NPI

Badger Smiles LLC

  • Dental Clinic/Center
  • Onalaska, WI
National Provider Identifier
1912748773
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BADGER SMILES LLC
Practice address
2850 Midwest Dr Ste 102
Onalaska, WI 54650-6751
Phone
(608) 707-1000
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Terry Cowgill, DDSNPI 1083746523
Title
Partner, Dentist
Phone
(608) 707-1000

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

2850 Midwest Dr Ste 102
Onalaska, WI 54650-6751

Mailing address

2850 Midwest Dr Ste 102
Onalaska, WI 54650-6751
Phone (608) 707-1000

National Provider Directory

National Provider Directory

Locations

2850 Midwest Dr
Ste 102
Onalaska, WI 54650
Phone (608) 707-1000

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1912748773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MIDWEST DR STE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506751",
            "telephone_number": "608-707-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MIDWEST DR STE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506751",
            "telephone_number": "608-707-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "COWGILL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PARTNER, DENTIST",
        "authorized_official_telephone_number": "608-707-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.