NPIMap

Organization Active NPI

Smiles for Eau Claire County LLC

  • Dental Hygienist
  • Eau Claire, WI
National Provider Identifier
1962874511
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
4176-16 Issued in WI
Legal business name
SMILES FOR EAU CLAIRE COUNTY LLC
Practice address
1811 Meadow LN
Eau Claire, WI 54701-7900
Phone
(715) 836-0127
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Sarah J. Pedersen, RDHNPI 1750587564
Title
Member
Phone
(715) 836-0127

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
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 4176-16 WI Primary

Addresses

Primary practice location

1811 Meadow LN
Eau Claire, WI 54701-7900

Mailing address

1811 Meadow LN
Eau Claire, WI 54701-7900
Phone (715) 836-0127

National Provider Directory

National Provider Directory

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": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1962874511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 MEADOW LN",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017900",
            "telephone_number": "715-836-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MEADOW LN",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017900",
            "telephone_number": "715-836-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR EAU CLAIRE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-836-0127",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "4176-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.