Organization Active NPI

Oral Health Clinic Inc

  • Dentist
  • Lake Mills, WI
National Provider Identifier
1952592420
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2336 Issued in WI
Legal business name
ORAL HEALTH CLINIC INC
Practice address
135 N Main St
Lake Mills, WI 53551-1609
Phone
(920) 648-2327
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
David Kriege, DDSNPI 1427249523
Title
Owner
Phone
(920) 648-2327

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
Dentist 122300000X 2336 WI Primary

Addresses

Primary practice location

135 N Main St
Lake Mills, WI 53551-1609

Mailing address

135 N Main St
Lake Mills, WI 53551-1609
Phone (920) 648-2327

National Provider Directory

National Provider Directory

Locations

135 N Main St
Lake Mills, WI 53551
Phone (920) 648-2327

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1952592420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511609",
            "telephone_number": "920-648-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511609",
            "telephone_number": "920-648-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "KRIEGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-648-2327",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mills, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.