NPIMap

Organization Active NPI

Hartjes Dental Association, LLC

  • General Practice Dentistry
  • Middleton, WI
National Provider Identifier
1982778833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4461 & 2835 Issued in WI
Legal business name
HARTJES DENTAL ASSOCIATION, LLC
Practice address
1001 N Gammon Rd
Suite 2
Middleton, WI 53562-3874
Phone
(608) 836-5600
Fax
(608) 836-4589
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joel M Hartjes, DDSNPI 1972677920
Title
Partner
Phone
(608) 836-5600

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4461 & 2835 WI Primary

Addresses

Primary practice location

1001 N Gammon Rd
Suite 2
Middleton, WI 53562-3874

Mailing address

1001 N Gammon Rd
Suite 2
Middleton, WI 53562-3874
Phone (608) 836-5600

Other identifiers 2

IdentifierTypeStateIssuer
33431600MedicaidWI
33784500MedicaidWI

National Provider Directory

National Provider Directory

Locations

1001 N Gammon Rd
Ste 2
Middleton, WI 53562
Phone (608) 836-5600

Practitioners & affiliated clinicians

Practitioners 3

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982778833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N GAMMON RD",
            "address_2": "SUITE 2",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623874",
            "telephone_number": "608-836-5600",
            "fax_number": "608-836-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GAMMON RD",
            "address_2": "SUITE 2",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623874",
            "telephone_number": "608-836-5600",
            "fax_number": "608-836-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTJES DENTAL ASSOCIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTJES",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "608-836-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4461 & 2835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33431600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33784500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.