Smiles on Main, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILES ON MAIN, LLC

Practice address

212 Main St
Mosinee, WI 54455-1442

Phone

(715) 693-2503

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.

• Timothy Karl Brown, DDS

  • Dentist
  • Mosinee, WI
  • NPI 1114017233
  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": "1982117842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551442",
            "telephone_number": "715-693-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551442",
            "telephone_number": "715-693-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON MAIN, 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": []
}

• Susan M Schneider, MD
• Lori A Schutte, APNP
• Serene Care Solutions Inc.
• Jerome R Sheff, MD
• Shawn Patrick Sippl, D.C.
• Brian Sorensen
• Sport & Spine Clinic LP
• David B Tange, MD
• Karen Marie Taylor, LPN
• Lisa Ann Tesch

• Dentist in Mosinee, WI
• Providers in Mosinee, 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.