Organization Active NPI

James S Kramer DDS SC

  • Dentist
  • Neenah, WI
National Provider Identifier
1942298567
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAMES S KRAMER DDS SC
Practice address
940 Tullar Rd
Neenah, WI 54956-3618
Phone
(920) 725-2533
Fax
(920) 725-4001
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
James Scott Kramer, DDSNPI 1528261765
Title
Owner Corporation President
Phone
(920) 725-2533

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X WI Primary

Addresses

Primary practice location

940 Tullar Rd
Neenah, WI 54956-3618

Mailing address

940 Tullar Rd
Neenah, WI 54956-3618
Phone (920) 725-2533

Other names 1

  • Kramer Family Dentistry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122000345 WI DME Supplier - Oral Surgery - Dentist 4284860206 Practice locations: Neenah, WI

National Provider Directory

National Provider Directory

Locations

940 Tullar Rd
Neenah, WI 54956
Phone (920) 725-2533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1942298567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 TULLAR RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563618",
            "telephone_number": "920-725-2533",
            "fax_number": "920-725-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 TULLAR RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563618",
            "telephone_number": "920-725-2533",
            "fax_number": "920-725-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S KRAMER DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER  CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "920-725-2533",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kramer Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.