Menomonie Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MENOMONIE DENTAL, LLC

Practice address

1603 Stout Rd
Menomonie, WI 54751-2989

Phone

(715) 235-6858

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Olga Grenova

Title

Director of Accounting

Phone

(608) 833-2213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Danny Roger Wood, DDS

  • Dentist
  • Menomonie, WI
  • NPI 1295956282
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1972016830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 STOUT RD",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512989",
            "telephone_number": "715-235-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 STOUT RD",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512989",
            "telephone_number": "715-235-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOMONIE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "GRENOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "608-833-2213"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharat Meenavalli, M.D.
• Kelley Rae Mendalski, M.S., LPC
• Menomonie Area Senior Center
• Menomonie CBRF, LLC
• Menomonie Chiropractic Center SC
• Menomonie Eye & Optical LLC
• Menomonie Rcac, LLC
• Amber Lynn Meronek, LPN
• Christian Nicholas Meyer, DC
• Hannah Kay Meyer, SLP

• Dentist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.