Active NPI
Clara S Ping, DDS
- Dentist
- La Crosse, WI
National Provider Identifier
1932546868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7089-50
- Practice address
- 1200 Main St
La Crosse, WI 54601-4102 - Phone
- (608) 782-7374
- NPI assigned
- Jun 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7089-50 | WI | Primary |
Addresses
Primary practice location
1200 Main St
La Crosse, WI 54601-4102
Mailing address
140 22ND St S
La Crosse, WI 54601-4242
Phone (608) 519-5197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209001371 | WI | Order and Referring Only - Dentist | 2567763915 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7089-50 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373155200000",
"number": "1932546868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 22ND ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014242",
"telephone_number": "608-519-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014102",
"telephone_number": "608-782-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PING",
"first_name": "CLARA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-02",
"last_updated": "2013-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "7089-50",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.