Oral Surgery Clinic of la Crosse LTD.

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

Organization subpart

No

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.

Title

Owner

Phone

(608) 782-8193

Specialties & licenses 1

Addresses

Other identifiers 2

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33757600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "835478",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onalaska Chiropractic, S.C.
• Onalaska Family Chiropractic Wellness Center LLC
• Onalaska Osl Operating LLC
• Onalaska Senior Living, LLC
• Onalaska Vision Associates, Inc.
• Orthodontic Specialists of Onalaska and the Coulee Region
• Ellen M Ott, PNP
• Andrew S Palm, O.D.
• Diane C Palm, APNP
• Molly Parslow, MS, LPC-IT

• Oral and Maxillofacial Surgery Clinic/Center in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Wisconsin

• 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.