Organization Active NPI

Rasmussen Family Dentistry, S.C.

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1952832776
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6884-15 Issued in WI
Legal business name
RASMUSSEN FAMILY DENTISTRY, S.C.
Practice address
1225 E Northland Ave
Appleton, WI 54911-8415
Phone
(920) 739-3887
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Dr. Andrew Rasmussen
Title
Dentist
Phone
(920) 655-4732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6884-15 WI Primary

Addresses

Primary practice location

1225 E Northland Ave
Appleton, WI 54911-8415

Mailing address

N3933 County Road U
De Pere, WI 54115-8824

National Provider Directory

National Provider Directory

Locations

1225 E Northland Ave
Appleton, WI 54911
Phone (920) 739-3887

Practitioners & affiliated clinicians

Practitioners 1

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": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1952832776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3933 COUNTY ROAD U",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118415",
            "telephone_number": "920-739-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASMUSSEN FAMILY DENTISTRY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-655-4732",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6884-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.