Organization Active NPI

Jack Hoeffleur DDS Inc

  • General Practice Dentistry
  • Wales, WI
National Provider Identifier
1962561381
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACK HOEFFLEUR DDS INC
Practice address
225 N Wales Rd
Wales, WI 53183-9735
Phone
(262) 968-9191
NPI assigned
Dec 8, 2006
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Jacques Hoeffleur, DDSNPI 1083034060
Title
President
Phone
(262) 968-9191

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

225 N Wales Rd
Wales, WI 53183-9735

Mailing address

225 N Wales Rd
Wales, WI 53183-9735
Phone (262) 968-9191

National Provider Directory

National Provider Directory

Locations

225 N Wales Rd
Wales, WI 53183
Phone (262) 968-9191

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1962561381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N WALES RD",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531839735",
            "telephone_number": "262-968-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WALES RD",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531839735",
            "telephone_number": "262-968-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK HOEFFLEUR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "HOEFFLEUR",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-968-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wales, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.