NPIMap

Organization Active NPI

Garrison HDH LLC

  • General Practice Dentistry
  • Fort Atkinson, WI
National Provider Identifier
1932269875
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5000615015 Issued in WI
Legal business name
GARRISON HDH LLC
Practice address
1530 Doris Dr.
Fort Atkinson, WI 53538
Phone
(920) 563-9373
Fax
(920) 563-4664
NPI assigned
Dec 11, 2006
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
James Paul Garrison
Title
Manager
Phone
(920) 563-9373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5000615015 WI Primary

Addresses

Primary practice location

1530 Doris Dr.
Fort Atkinson, WI 53538

Mailing address

1530 Doris Dr.
Fort Atkinson, WI 53538
Phone (920) 563-9373

National Provider Directory

National Provider Directory

Locations

1530 Doris Dr
Fort Atkinson, WI 53538
Phone (920) 563-9373

Practitioners & affiliated clinicians

Practitioners 5

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1932269875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 DORIS DR.",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "53538",
            "telephone_number": "920-563-9373",
            "fax_number": "920-563-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 DORIS DR.",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "53538",
            "telephone_number": "920-563-9373",
            "fax_number": "920-563-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON HDH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-563-9373"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5000615015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 7, 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.