Red Cedar Dentisry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7263-15 Issued in WI

Legal business name

RED CEDAR DENTISRY LLC

Doing business as

Red Cedar Dentistry

Practice address

2409 Hils CT
Menomonie, WI 54751-1141

Phone

(715) 309-2999

Fax

(715) 309-2983

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Hastings, DDSNPI 1336554039

Title

Dentist/Owner

Phone

(715) 309-2999

Specialties & licenses 1

Addresses

Other names 1

• Red Cedar Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Hastings, D.D.S.

  • General Practice Dentistry
  • Menomonie, WI
  • NPI 1336554039
  NPD Authorized official
• Jordan Krivanek, DDS

  • Dentist
  • Menomonie, WI
  • NPI 1730972738
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1962910810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 HILS CT",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511141",
            "telephone_number": "715-309-2999",
            "fax_number": "715-309-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 HILS CT",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511141",
            "telephone_number": "715-309-2999",
            "fax_number": "715-309-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CEDAR DENTISRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "715-309-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "7263-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Cedar Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Rachick
• Vicki B Radmann, MS, LPC, NCC
• Lacey Jo Raiche, FNP
• Florence Anne Ramage, PSY.D.
• Red Cedar Chiropractic, LLC
• Red Cedar Psychology LLC
• Reformedicine, S.C.
• Kara Marie Reich, PT
• David Calvin Reimann
• Bruce Cecil Rhoades, M.D.

• Dental Clinic/Center in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.