NPIMap

Organization Active NPI

Oral Surgery Clinic of la Crosse LTD.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Onalaska, WI
National Provider Identifier
1962531178
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
ORAL SURGERY CLINIC OF LA CROSSE LTD.
Practice address
2819 National Dr
Onalaska, WI 54650-6703
Phone
(608) 782-8193
Fax
(608) 782-4517
NPI assigned
Mar 5, 2007
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Dr. David Paul Ludington, D.D.S.NPI 1770570624
Title
Owner
Phone
(608) 782-8193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

2819 National Dr
Onalaska, WI 54650-6703

Mailing address

2819 National Dr
Onalaska, WI 54650-6703
Phone (608) 782-8193

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1962531178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 NATIONAL DR",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506703",
            "telephone_number": "608-782-8193",
            "fax_number": "608-782-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NATIONAL DR",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506703",
            "telephone_number": "608-782-8193",
            "fax_number": "608-782-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY CLINIC OF LA CROSSE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "LUDINGTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-782-8193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.