Active NPI
Fond Du Lac School District
- Local Education Agency (LEA)
- Fond Du Lac, WI
National Provider Identifier
1982829776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- FOND DU LAC SCHOOL DISTRICT
- Practice address
- 72 W 9TH St
Fond Du Lac, WI 54935-4956 - Phone
- (920) 906-6520
- Fax
- (920) 929-6858
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Von Tish
- Title
- Director of Pupil Services
- Phone
- (902) 906-6520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | WI | Primary |
Addresses
Primary practice location
72 W 9TH St
Fond Du Lac, WI 54935-4956
Mailing address
72 W 9TH St
Fond Du Lac, WI 54935-4956
Phone (920) 906-6520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44201600 | Medicaid | WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2225051 | Fond Du Lac School District | Certificate of waiver | May 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982829776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 W 9TH ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354956",
"telephone_number": "920-906-6520",
"fax_number": "920-929-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 W 9TH ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354956",
"telephone_number": "920-906-6520",
"fax_number": "920-929-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOND DU LAC SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VON TISH",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
"authorized_official_telephone_number": "902-906-6520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44201600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.