NPIMap

Organization Active NPI

Daniel J. Johanek D.D.S.S.C.

  • Dentist
  • Appleton, WI
National Provider Identifier
1972526325
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1314 G Issued in WI
Legal business name
DANIEL J. JOHANEK D.D.S.S.C.
Practice address
2563 E Calumet St
Appleton, WI 54915-4748
Phone
(920) 731-1275
NPI assigned
Jul 26, 2006
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Daniel Joseph Johanek, D.D.S.NPI 1821356296
Title
President/Owner
Phone
(920) 731-6416

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
Dentist 122300000X 1314 G WI Primary

Addresses

Primary practice location

2563 E Calumet St
Appleton, WI 54915-4748

Mailing address

2563 E Calumet St
Appleton, WI 54915-4748
Phone (920) 731-1275

National Provider Directory

National Provider Directory

Locations

2563 E Calumet St
Appleton, WI 54915
Phone (715) 524-2581

Practitioners & affiliated clinicians

Practitioners 2

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1972526325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154748",
            "telephone_number": "920-731-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154748",
            "telephone_number": "920-731-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. JOHANEK D.D.S.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "JOHANEK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "920-731-6416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1314 G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.